Hysteroscopy is a procedure that allows your doctor to look inside your uterus in order to evaluate your endometrium (Lining of your uterus). Hysteroscopy is done using a hysteroscope, a thin, lighted telescope that is inserted into the vagina, through the cervix to evaluate and possibly treat the lining of the cervix and the uterus.

Why is hysteroscopy done?

Hysteroscopy can be used to diagnose problems of the uterus (Diagnostic hysteroscopy), such as abnormal bleeding, pain, and infertility. Diagnostic hysteroscopy is usually done in an office setting.

Hysteroscopy can also be used with other procedures, such as ablation, removal of polyps/fibroids, or before procedures such as dilation and curettage (D&C) or laparoscopy.

During hysteroscopy small instruments inserted through the hysteroscope (operative hysteroscopy) can be used to remove polyps, fibroids, uterine anomalies or treat abnormal bleeding. Operative hysteroscopy may be done in the office or hospital.

Some treatments operative hysteroscopy may be used in:

Abnormal bleeding— Hysteroscopy can help identify the cause of heavy or irregular menstrual bleeding. Endometrial ablation is one procedure in which the hysteroscope , is used to destroy the uterine lining in order to treat some causes of heavy bleeding.

Polyps and fibroids —Hysteroscopy is used to remove these. Usually benign (not cancerous)

Adhesions —Also known as Asherman’s Syndrome, uterine adhesions are bands of scar tissue that effect your menses and ability to become pregnant.

Septums— Hysteroscopy can help determine whether you have a uterine septum, a malformation of the uterus that is present from birth. The hysteroscope may be used to remove the septum if necessary.

Benefits of hysteroscopy include:

Shorter hospital stay Shorter recovery time Less pain medication needed after surgery Avoidance of hysterectomy , and abdominal surgery

Risks of hysteroscopy

Hysteroscopy is a relatively safe procedure. However, as with any type of surgery, complications are possible. Risks of complications are less than 1% usually.

Risks associated with anesthesia or local anesthetic

Perforation of uterus (Instrument penetrates wall of uterus)

Infection

Heavy bleeding

Problems with fluid used to visualize during hysteroscopy

Injury to the cervix, uterus, bowel or bladder

Intrauterine scarring

What to expect before:

The night before your procedure, you should take Ibuprofen 600mg. If you cannot take Ibuprofen or aspirin please let us know.

If you are scheduled at the hospital, don’t eat or drink for 8 hours before your surgery. Follow your instructions from the hospital.

If you have the procedure in office you be given a local anesthetic prior to the hysteroscopy.

After you arrive you will be given a gown to change from the waist down.

After a speculum is placed, similar to a pap,the doctor will dilate (widen) your cervix to allow the hysteroscope to be inserted.

The hysteroscope is inserted through your vagina and cervical canal into your uterus.

Normal sterile saline fluid is instilled into your endometrial (uterine cavity) , through the hysteroscope, in order to see into your uterus.

The lining of your uterus is visualized and evaluated.

If any procedure is required it is completed at that time through the hysteroscope.

It usually takes 5-20 minutes for a hysteroscopy, but longer depending on other procedures you may be having. The total time ranges from 1-2 hours in office in total to 4-5 in the hospital.

You will need someone to drive you home after your procedure.

What can you expect after a hysteroscopy?

After the procedure, you may have some cramping or slight vaginal bleeding for a day or two. You may also feel somewhat faint or sick. However, if you experience any of the following symptoms, be sure to contact us immediately:

Fever (temperature over 100 degree Fahrenheit)

Severe abdominal pain

Heavy vaginal bleeding or discharge

What medicines can I take for pain?

You will be given a prescription for Ibuprofen and a narcotic, such as hydrocodone.

Take the Ibuprofen first. That usually works best. If you need to, you may take the narcotic. If you take the narcotic do not drive after.

When can I return to normal activity?

You may return to normal activity the next day. Avoid anything vaginal for 4 weeks after. You may drive the following day as long as you are not taking pain medications.

If you have any concerns contact us at (509) 628-8866

Hysteroscopy video