In Office Procedures

Dr. Kafali Nazarof offers a wide range of in-office services & procedures designed to allow her patients more ease and comfort. By providing several minor surgery options within the comfort of our office, you are able to avoid the need for hospitalization.  This saves you time, costs, and the need for general anesthetic.  The procedures we do in our office are minor, and usually done under local anesthetic.

Reasons Why Women Choose a Cosmetic Gynecology Procedure


  • Annual Well-Woman Exam

    Between work, family, and home, women seem to be pulled in many directions. They tend to care for others before themselves. Sue Kafali-Nazarof, MD and her practice make you the priority. The well-woman exam is a comprehensive annual checkup to keep you looking and feeling beautiful. Your exam is the time to screen for illness and disease and also discuss fertility, sexual health, and menopause.

  • Post-Partum Care – The 4th Trimester

    When a woman arrives home from the hospital with her newborn baby, it can be easy to focus on the baby and forget about her own postpartum care. Postpartum means what you think it does: Care FOR YOU (the mother) after your baby is born. During pregnancy the body goes through significant changes and continues to adjust after giving birth, which is why we consider it vital that you visit Dr Kafali within 6 weeks of delivery for a comprehensive exam. It is important for new mothers to take care of themselves during the postpartum period to insure that their body has a full recovery. There are practical considerations besides how the mother feels. Being in good health helps a mother care more effectively for her baby. And good health includes good mental health. As many as 15 percent of new mothers experience postpartum mood disorders, including postpartum depression (PPD). When a mother is depressed, her newborn can be affected in several ways. Dr Kafali will begin talking about the post partum plan early in your pregnancy so you can be prepared for some of the things you may experience after delivery. While it is an absolute time of joy and excitement, you must recover from childbirth and adjust to the hormonal changes. This 4th trimester can present challenges like lack of sleep, pain, depression, a reduced libido (or none at all), and urinary incontinance. Through your post partum visits with Dr Kafali, she will help you navigate the challenges of motherhood, while also assisting the people close to you to be engaged in your post partum care. Do not hesitate to call Dr Kafali with any concerns you have.

  • Pre-Natal Care

    Pre-Natal care is most important to both you and your growing baby. As soon as you find out you are pregnant, it is of utmost importance that you establish a schedule for your pre-natal care. Dr. Kafali-Nazarof has specialized training in the area of care as it relates to pregnancy, labor, and delivery. Her main goal is not only to provide the best care for her pregnant patients and their unborn child, but also to prepare you, as mother-to-be, for the delivery of a healthy baby. During prenatal visits, tests are performed on both the mother and the baby to assess any potential risks, to treat any maternal or fetal complications, and to monitor the growth and development of the fetus. In addition, counseling and guidance are provided regarding various aspects of pregnancy, including weight gain, exercise, nutrition, and overall health.

  • Fertility Testing & Referral

    Couples who are unable to get pregnant after a year of unprotected sex may have underlying fertility issues. Fortunately, most cases of infertility are treatable. Sue Kafali-Nazarof, MD has been helping women (and couples) with fertility issues for more than 17 years. Through comprehensive fertility testing, she diagnoses and treats issues impacting your fertility to help you achieve your dream of motherhood. Call or book online to schedule a fertility screening with us.

  • Preconception Counseling

    Caring for your health before you become pregnant (preconception care) will help you learn about any risk factors and treat any medical problems that you may have before you become pregnant. Planning for your pregnancy before you conceive will help you make healthy choices for you and your baby. You and your partner should also undergo genetic counseling and testing before pregnancy. Specific tests may be recommended to find out if a couple is at risk for having a child with certain genetic diseases such as Tay-Sachs and sickle trait/sickle cell.


  • What happens if I have an abnormal pap smear?
    Pap smear results come back as normal, unclear, or abnormal. A positive result means your sample contained abnormal cells, but it doesn’t necessarily mean you have cervical cancer. Dr. Kafali-Nazarof uses two primary procedures to learn more about your cervical tissue. (1) Colposcopy - Dr Kafali uses a microscope to examine the cervix, vagina, and vulva for signs of disease, and sometimes collects a small tissue sample for additional testing. The procedure takes about 20 minutes and is relatively painless. After any biopsy sample, some women will experience light bleeding, vaginal discharge, or slight vaginal pain that may for 1 or 2 days after the procedure. (2) Loop Electrosurgical Excision Procedure (LEEP) is another way to test and treat abnormal cervical cells. This procedure is performed if you have high-grade abnormal cells on your cervix. During the LEEP procedure, Dr Kafali-Nazarof will remove the abnormal tissue so it can be tested for cancer. During the procedure, she applies an anesthetic to the cervix before using the loop to shave off the abnormal cells. the procedure takes about 20 minutes.
  • What is a Pap smear?
    A Pap smear or Pap test is a procedure that detects abnormal cells in the cervix -- the narrow part of the womb that leads to the vagina -- that may indicate cancer. Early-stage cervical cancer has no symptoms, which makes your annual pap smear critical for early detection
  • How are STDs treated?
    STD treatment depends on the type and severity of the disease. Dr Kafali-Nazarof uses antibiotics to treat most bacterial STDs, like syphilis, gonorrhea, and chlamydia. Other infections like HIV & herpes never go away, but can be managed with antiviral drugs. Depending of your case, you may be able to reduce your viral count to virtually undetectable levels. Even if your STD is under control, it is still transmittable, so be sure to discuss safe-sex methods with Dr Kafali-Nazarof. And remember, there is no need to feel shame or embarrassment over an STD, at AWH, Dr Kafali handles every personal health concern with discretion and compassion.
  • What are STD symptoms?
    STDs (Sexually Transmitted Diseases), pass from one person to another through intercourse or other forms of sexual contact. Common symptoms include: (1) Genital order (2) Genital pain or itching (3) Vaginal discharge (4) Pain during intercourse (5) Pain or burning during urination (6) Penile discharge (7) Sores or bumps on mouth, rectal area, or genitals (8) Swollen testicles (9) Spotting between periods Surprisingly, many STDs have no symptoms at all. We recommend complete STD screening when you become sexually active. STDs can also be transmitted through sharing needles, during childbirth, or through breast feeding
  • Do you screen patients for breast cancer?
    During your visit we will perform a clinical breast exam to check for lumps or other indicators of potential breast health problems. Women should have their first mammogram between the ages of 35 and 40. After 40, they should have mammograms annually