Hysteroscopy is a procedure that allows healthcare providers to examine the inside of the uterus by inserting a thin, lighted tube called a hysteroscope through the cervix. It can be used for both diagnostic purposes, like identifying the cause of abnormal uterine bleeding, and operative purposes, like removing polyps or fibroids.
Purpose and Uses:
Diagnostic:
To examine the uterine lining and identify abnormalities like polyps, fibroids, adhesions, or uterine septa.
Operative:
To treat conditions detected during diagnostic hysteroscopy, such as removing polyps, fibroids, or adhesions.
Infertility:
To assess the uterine environment before IVF treatments and identify potential barriers to implantation.
Procedure:
The hysteroscope is inserted through the cervix into the uterus. A fluid, like saline or carbon dioxide, may be used to distend the uterus and improve visualization. The hysteroscope has a light source and a camera, allowing the doctor to see the inside of the uterus. If needed, small surgical instruments can be passed through the hysteroscope to remove tissue samples or perform other procedures.
Indications:
Abnormal uterine bleeding, Infertility workup, Removal of foreign bodies like misplaced IUDs, Treatment of uterine anomalies like septa, Confirming abnormal findings from other tests, like ultrasound or hysterosalpingography (HSG).
Recovery:
Most people can resume normal activities soon after the procedure. Some mild cramping or bleeding may occur for a few days after. A general anesthetic may require a longer recovery time.
