Hysteroscopy

Why would I need a hysteroscopy?

Hysteroscopy is a diagnostic procedure used to examine your uterus to check for abnormalities. It’s commonly used to look for the cause of abnormal bleeding. Hysteroscopy might also be used to confirm the results from a different test.

Additional uses of hysteroscopy include:

• Abnormal Pap smear results
• Displaced IUD
• Multiple miscarriages
• Uterine polyps, fibroids, or scarring
• Postmenopausal bleeding
• Uterine biopsy

If your specialist feels a hysteroscopy is needed, the full range of diagnostic options is explained before any decision is made.

What happens during a hysteroscopy?

Some hysteroscopies are performed under general anesthesia, while others can be completed while you’re awake and only lightly sedated. Once you’re resting comfortably on the exam table or chair, your practitioner will use medication or dilators to open your cervix to gain access to your uterus.

The hysteroscope is a thin tube equipped with a tiny light and camera. Your doctor inserts the hysteroscope through your vagina and into your uterus. If needed, a gas or saline solution is introduced to expand your uterus and enhance visibility of all tissues.

Real-time imaging collected by the hysteroscope is displayed on an external screen. In this way, your doctor is able to “see” the lining of your uterus and the opening of your Fallopian tubes to look for irregularities.

If you receive general anesthesia prior to your hysteroscopy, you’ll need to wait for the effects to wear off before heading home. You might notice some spotting or light bleeding for a few days and mild cramping or soreness similar to period pain. It’s important to avoid sex for a week after your procedure to lower the risk of infection.

Women’s Health Services uses the EndoseeⓇ in-office hysteroscopy system. This portable, lightweight platform delivers clear imaging via an integrated LCD screen.

What if a problem is detected?

If your doctor finds evidence of tissue abnormalities, treatment is often possible during the hysteroscopy procedure. Surgical tools can be inserted to gather a small tissue sample, or biopsy, or to remove fibroids or polyps.

Hysteroscopy is also used to guide sterilization surgery. In this case, tiny implants are positioned inside your Fallopian tubes.

If you have questions or concerns about hysteroscopy, book an appointment today, online or by phone.