Hysteroscopy
A hysteroscopy is a procedure that allows a surgeon to diagnose or treat uterine problems.
Your gynecologist may recommend a hysteroscopy for one of several reasons:
- Determine the cause of abnormal uterine bleeding:
- heavy menstrual bleeding
- irregular spotting between periods
- bleeding after menopause
- Diagnose problems with fertility
- Diagnose problems with recurrent pregnancy loss or miscarriage
- Remove adhesions (scar tissue) that formed during a previous surgery or disease
- Locate an IUD (an intrauterine device for birth control)
Hysteroscopy can be performed as a surgical treatment for some uterine abnormalities. Surgeries to remove polyps (polypectomy) and uterine fibroids (myomectomy) are often conducted with the guiding help of a hysteroscope.
What happens during a hysteroscopy?
On the day of the procedure, you’ll be asked to empty your bladder and change into a hospital gown. You may receive anesthesia or a sedative to help you relax. The type of anesthesia you receive depends on whether the hysteroscopy will take place in a hospital or your surgeon’s office and whether other procedures will occur simultaneously.
You’ll be positioned on the exam table with your legs in stirrups.
Once you’re in position, your surgeon will:
- Perform a pelvic exam and place a speculum to visualize the cervix
- The cervix is then dilated so the hysteroscope can be inserted.
- The hysteroscope is placed through your vagina and cervix into your uterus.
- A liquid solution is sent through the hysteroscope and into your uterus, gently expanding it and clearing any blood or mucus.
- The uterine cavity and the openings of your fallopian tubes is inspected. The light from the hysteroscope makes it easier for your surgeon to get a clear view.
- Surgical instruments through the hysteroscope that can be used to remove any irregular abnormalities (if surgery is needed).
Hysteroscopy can be performed as a surgical treatment for some uterine abnormalities.
Surgeries to remove polyps (polypectomy) and uterine fibroids (myomectomy) are often conducted with the guiding help of a hysteroscope.
Uterine polyps and myomas are removed with a narrow device that can shave off these abnormal structure.
The entire procedure takes about 45-60 minutes.
You should be able to go home shortly after the procedure.
Are there risks with hysteroscopy?
Hysteroscopy is a very safe procedure. However, there is a small risk of problems.
The uterus or cervix can be punctured by the hysteroscope, bleeding may occur, or excess fluid may build up in your system.
It is normal to have some mild cramping or a little bloody discharge for a few days after the procedure. You may be given medication to help ease the pain.
If you have a fever, chills, or heavy bleeding, call your health care professional right away.