hysteroscopy

Hysteroscopy is a procedure used to examine the inside of the uterine cavity. This diagnostic test can also treat blockages, endometriosis or adhesions. Hysteroscopy is useful in the treatment of uterine fibroids that impact the cavity, scarring, polyps and congenital malformations such as a uterine septum.

• how it works
• side effects

how it works

An operative hysteroscopy is usually done in the operating room under general anesthesia if significant repairs are needed. A diagnostic hysteroscopy may be done in your doctor’s office, and minor repairs, if needed, may be done at that time. The hysteroscope, a lighted tube, is inserted through the cervix and into the uterus. This procedure is usually done at the start of a woman’s menstrual cycle. Prior to insertion, the cervical canal is stretched (dilated).

Once the hysteroscope is inserted, carbon dioxide gas or a liquid is inserted into the uterus to expand the cavity and clear away any blood and mucous.

In operative (rather than diagnostic) hysteroscopy, a larger hysteroscope is used so operating instruments can be placed in the uterine cavity through the hysteroscope. After surgery, a Foley catheter (flexible tube) or intrauterine device might be placed inside the uterus to make sure the walls of the uterus don’t fuse together or form scar tissue. It is removed after a few days.

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side effects

There are risks and side effects associated with hysteroscopy. Your healthcare provider will discuss important safety information with you about this procedure.

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