Hysteroscopy

What is Hysteroscopy?

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Hysteroscopy is a minor surgical procedure utilizing a thin fiberoptic tube or hysteroscope to see the inside of the uterus (endometrial cavity). Hysteroscopy allows the doctor to diagnose and treat a variety of uterine abnormalities which may cause infertility, recurrent miscarriages, abnormal bleeding and pain.
Hysteroscopy is an outpatient procedure which can be performed in the operating room of a hospital, surgical center or at a doctor’s office. Before the surgery, you will be given a hospital gown and asked to empty your bladder. You will be given medicine to help you relax and then local or general anesthesia depending on the type of hysteroscopy (diagnostic or operative) planned for you.

The hysteroscopy is performed with you lying on your back while your feet are supported by footrests (stirrups).

A speculum will be inserted into the vagina so your doctor can see the cervix. The vagina is cleaned with a special antiseptic solution and the hysteroscope is gently inserted through the cervix and advanced into the uterus. A liquid will be injected through the hysteroscope into your uterus to help your doctor see the uterine cavity clearly. A camera attached to the hysteroscope will project a magnified view of the uterine cavity on a video monitor. Your doctor will be able to see if there is any abnormality in the uterine cavity and to look at the opening of the tubes. The hysteroscopy takes only 10-15 minutes to complete unless other procedures are planned to remove fibroids, polyps , uterine adhesions or unblock your tubes.

Preparing for Hysteroscopy

  • Hysteroscopy is best performed during the first week after your period (day 5-12 of cycle).
  • If you are scheduled to have a fibroid removed, you may be treated with Lupron for several weeks before surgery, to shrink the size of the fibroid
  • Tell the doctor if you are or might be pregnant, if you are allergic to any medicines or if you take blood-thinning medications, such as aspirin or Coumadin.
  • Talk with your doctor about the risks of hysteroscopy. Have the doctor explain how the procedure is performed and what the results will mean.
  • You will be asked to sign a consent form giving the doctor permission to perform the surgery.
  • You should not eat or drink after midnight the day before your scheduled surgery.