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.