Office Gynecology

Conditions Treated

  • Women's Health
  • Adolescent care
  • Infertility
  • Menopause
  • Menstrual disorders
  • Endometriosis
  • Pregnancy
  • Premenstrual Syndrome

Procedures Performed

  • Endometriosis
  • Colposcopy
  • LEEP procedure
  • IUD placement/removal
  • Implanon Placement/removal


  • LEEP Procedure
  • Ultrasound
  • Fibroids
  • Breast Cancer Screening
  • Osteoporosis
  • Well Women Care (annual exams)
  • Menopause
  • Endometrial Biopsy
  • Colposcopy
  • Pap Smear


  • OB / Prenatal Care
  • Ultrasound
  • Prenatal Genetic Screening
  • High Risk Pregnancy
  • Family Planning
happy woman

In Office Procedures & Surgery

Dr. Johnnie Ham provides several minor surgeries in our office thus avoiding the need for hospitalization. This saves you time, costs, and the need for general anesthetic. You receive your procedure in the comfort of our office that is already familiar and convenient to you. The office gynecology procedures we do are minor, and either done under local anesthetic or IV sedation. These procedures include LEEP procedures, labiaplasty, vaginal rejuvenation using the MonaLisa Touch™ Laser and more.  Many physicians still do these procedures in the hospital but for the right patients we can safely do this in the office in a painless fashion thus making the experience much less stressful and convenient for our patients by eliminating the hospital admission.


Our office offers the convenience of in office ultrasound for our Obstetrical and Gynecologic patients. This allow ease of scheduling for our patients and allows the physician to review images without the need for waiting for reports or images from another facility.



Colposcopy is a special examination of the cervix performed when there is an abnormal pap smear. The cervix is prepared with special stains to make abnormal cells stand out. Sometimes a biopsy is performed to evaluate those cells further. This exam is performed right in the office at Coastal Prestige Medical Services. No special preparation is needed. It is very similar to the process of getting a pap smear.

Mole Removal

A variety of conditions cause lesions in the female genital areas. Some are benign and require no treatment.Others can be more concerning and require treatment, removal, or biopsy. Sometimes the appearance of lesions is deceiving when in this location. What looks like a common mole on another part of the body can act differently on the vulva, especially if it has only been noticed recently or if it has changed in appearance over time. There are also other conditions such as lichen sclerosis, condylomata, vulvar cancers and precancerous lesions, among others that can affect this area. Your Coastal Prestige Medical Services physician is experienced in evaluating lesions on the vulva and in the vagina. Often the diagnoses can be made with minimal testing such as a small in office biopsy or colposcopy.

mole examination

LEEP Procedure for Cervical Tissue Abnormalties

If you have an abnormal Pap test result, Dr. Ham may suggest that you have a loop electrosurgical excision procedure (LEEP) as part of the evaluation or for treatment. LEEP is one way to remove abnormal cells from the cervix by using a thin wire loop that acts like a scalpel (surgical knife). An electric current is passed through the loop, which cuts away a thin layer of the cervix.


How is LEEP performed?

A LEEP should be done when you are not having your menstrual period to give a better view of the cervix. In most cases, LEEP is done in a women’s health care provider's office. The procedure only takes a few minutes.


During the procedure you will lie on your back and place your legs in stirrups. Dr. Ham then will insert a speculum into your vagina in the same way as for a pelvic exam. Local anesthesia will be used to prevent pain. It is given through a needle attached to a syringe. You may feel a slight sting, then a dull ache or cramp. The loop is inserted into the vagina to the cervix. There are different sizes and shapes of loops that can be used.


After the procedure, a special paste may be applied to your cervix to stop any bleeding. Electrocautery also may be used to control bleeding. The tissue that is removed will be studied in a lab to confirm the diagnosis.

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575 Price Street, Suite 313

Pismo Beach, CA 93449



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