Women's Health Services
Hysteroscopy
A hysteroscopy is a procedure done to examine the lining of the uterus (endometrium) and identify, diagnose or treat abnormalities. The procedure uses a viewing tool called a hysteroscope, which has a light and camera at the end, and is inserted into the vagina and moved through the cervix to see the uterus. The hysteroscope projects an image onto a display screen for the doctor to view. The doctor may also take a small sample of tissue to examine more closely under a microscope.
A hysteroscopy may be done to determine the cause of abnormal bleeding or bleeding after menopause, determine the cause of infertility, find and remove fibroids or polyps and find and reposition an intrauterine device. A local or general anesthesia may be used to relax the patient and relieve any potential discomfort.
While this is a simple and safe procedure, a hysteroscopy is not recommended for everyone and certain conditions can affect the results or lead to side effects. Talk to your doctor if you think it may be right for you.
Endometrial Ablation
Endometrial ablation is a procedure for women suffering from excessive or prolonged menstrual bleeding who have not responded to other treatments and cannot or does not wish to undergo a hysterectomy. Endometrial ablation removes or destroys the uterine lining (endometrium) while leaving the ovaries and actual uterus intact. The endometrium heals by scarring, which reduces or stops future uterine bleeding. Approximately 10-20% of patients require a second procedure or hysterectomy if symptoms reappear after a re-growth of the endometrium.
Different ablation techniques that are used in this procedure include:
- laser beam (laser thermal ablation)
- heat (thermal blation) using radiofrequency, thermal balloon ablation, or saline
- electricity
- freezing
- microwave
Endometrial ablation is a short outpatient treatment and recovery time varies from a few days to six weeks. Symptoms of recovery include cramping, a small amount of watery discharge mixed with blood, frequent urination, or nausea. Because endometrial ablation destroys the lining of the uterus, the procedure is not for women who still wish to become pregnant. Furthermore, women who have a malignancy or pre-malignant condition of the uterus are not candidates.
Getting the Most Out of Your Exam
Since most patients only see their gynecologist once or twice a year, it is important to make the most of your appointment so that you can receive an accurate evaluation of your health and address any concerns you may have. If possible, it is recommended to schedule your appointment right after your menstrual cycle. At this time, the breasts are not as lumpy and tender as they are later in your monthly cycle, and your doctor will likely be able to retrieve a better cervical sample during a Pap test.
Certain activities or substances may affect the results of a Pap test and should be avoided before your exam, including douching, medications and spermicides.
Patients are encouraged to come to their appointment prepared with questions for their doctor. Writing down your questions is often helpful in remembering to ask them so that you can get the information you need from your doctor.
