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Office Gynecologic Procedures

Work through the clinical reasoning and technique decisions behind common office GYN procedures, from IUD management to colposcopy and biopsy.

What this track covers

This track covers the office-based procedures gynecologic and primary care clinicians perform most often: IUD insertion and removal, endometrial biopsy, colposcopy with cervical biopsy, and related procedures like Nexplanon and Bartholin cyst management. It focuses on patient selection, technique decisions, troubleshooting complications, and knowing when to refer.

What you will practice

  • Selecting candidates and counseling before IUD insertion
  • Troubleshooting a difficult insertion or missing IUD strings
  • Deciding when an embedded IUD needs referral versus office management
  • Reading colposcopic findings and choosing biopsy sites
  • Managing hemostasis and specimen handling after cervical or endometrial biopsy

Simulator scenario

A patient presents for IUD removal with strings not visible on exam, requiring the clinician to work through next steps before deciding whether to proceed or refer.

Board question topics

  • IUD insertion and removal complications
  • Colposcopic findings and biopsy site selection
  • Endometrial biopsy indications and specimen handling
  • Bartholin cyst and vulvar biopsy management

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