When reproductive health concerns arise, our doctors can provide accurate diagnoses and testing by using the hysteroscopy procedure.
What is hysteroscopy?
A hysteroscopy is used to view the lining of the uterus. The doctor uses a thin tool known as a hysteroscope. The tip of the hysteroscope is put into the vagina and moved through the cervix into the uterus. The hysteroscope has a light and camera that allows the doctor to see the lining on a monitor. This can be done to determine the cause of abnormal bleeding, to see if a problem in the uterus is preventing pregnancy, to remove growths in the uterus such as fibroids or polyps, and occasionally to perform a biopsy, where a sample of the tissue is taken.
Why It Is Done?
A hysteroscopy may be done to:
Determine the cause of severe cramping or abnormal bleeding
Determine whether a problem in the shape or size of the uterus or scaring is causing infertility
View the uterine openings to the fallopian tubes. If the tubes are obstructed, the doctor might be able to open the tubes using special tools inserted through the hysteroscope
Find the possible cause of recurrent miscarriages. Additional tests can also be performed
Locate and remove a misplaced IUD, or intrauterine device
Locate and remove small polyps or fibroids
Determine if endometrial cancer is present
Use heated tools to excise troublesome areas in the lining of the uterus, known as an endometrial ablation
How should I prepare?
Tell your doctor if you:
Are or could be pregnant
Are using any medicines
Are allergic to any medications
Have bleeding conditions or take blood-thinners
Have been treated for a cervical, vaginal, or pelvic infection in the previous 6 weeks
Have any heart or lung conditions
It is best to have a hysteroscopy performed when you are not menstruating. Do not douche, use vaginal medicines, or use tampons for a day prior to the hysteroscopy.