If you’re experiencing unusual uterine bleeding or if you have abnormal uterine growths, we may suggest hysteroscopy, a procedure that allows a physician to view and perform surgery on the inside of your uterus. With this procedure, a thin, lighted, telescope device called a hysteroscope is placed into the uterus through the vagina and cervix. The hysteroscope transmits the image of your uterus onto a video screen, allowing the inside of the uterus to be viewed. Because hysteroscopy allows direct visualization, it is particularly useful in diagnosing problems with the inner lining of the uterus, also called the endometrium.
Conditions and procedures that may call for hysteroscopy
Hysteroscopy can be used to diagnose and sometimes treat a variety of conditions. These include:
- Abnormal bleeding
- Uterine fibroids or polyps
- Removal of adhesions from infection or a past surgery
- Repeated miscarriage
- Locating an intrauterine device (IUD)
- Permanent birth control procedures
Advantages and Disadvantages of hysteroscopy
Hysteroscopy can be done in our office or at the hospital. It is typically not used for women who are pregnant, have a vaginal or urinary tract infection, or who have cancer of the uterus. The procedure is generally scheduled for when you are not having your period.
In most cases, hysteroscopy is a relatively quick and simple procedure. Complications are rare, but they include possible bleeding, uterine infection, fluid overload and risks from anesthesia.
Most women are able to go home shortly after hysteroscopy, although if general anesthesia is used, you may need to wait until the effects have worn off. Most women can return to normal activities the next day, with a longer wait before sex or using tampons. Mild cramping and light bloody discharge are normal. If fever, chills, or heavy bleeding occur, you should call our office right away.