What is Hysteroscopy?

Hysteroscopy is used to diagnose or treat problems of the uterus.  A hysteroscope is a thin, lighted telescope-like device.  It is inserted through your vagina into your uterus.  Sometimes instruments can be used with a hysteroscope for treatment.

Why is Hysteroscopy Done?

Hysteroscopy is used to find  the cause of abnormal uterine bleeding.  Abnormal bleeding could mean that a woman’s menstrual periods are heavier or longer than usual, or that bleeding between menstrual periods is occurring.

Hysteroscopy can also be used to:

  • remove abnormalities, such as polyps, scar tissue, or fibroid tumors
  • locate and remove an Intrauterine Device
  • perform Essure sterilization, in which the hysteroscope is used to place small implants into a woman’s fallopian tubes
  • diagnose and correct the cause of repeated miscarriages

During the Procedure:

You will receive medications to relax you and relieve pain.  You may be asleep during the procedure.  Hysteroscopy can be done in a doctor’s office or in a hospital.

A speculum is placed to hold the vagina open.  The hysteroscope is inserted and gently advanced up through the cervix, into the uterus.  Fluid or gas is used to expand the uterus.  Instruments may be passed through the hysteroscope to perform procedures.

After the Procedure:

You should be able to go home shortly after the procedure.

It is normal to have some cramping or a little bloody discharge for a few days after the procedure.  You may take ibuprofen, Aleve, or Tylenol to ease the pain.  You may be given a prescription for additional pain medicine to use if you need it.

If you experience fever, chills, or heavy bleeding, call your doctor right away.

What are the Risks of Hysteroscopy?

Hysteroscopy has certain risks.  There is a small risk of infection and bleeding.  The scope or instruments used with it may pass through the wall of the uterus, bladder, or bowel.  Rarely, the fluid used to expand the uterus may be absorbed into your bloodstream.  This condition can be serious.  To prevent this problem, the amount of fluid used is carefully checked throughout the procedure.

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