Hysteroscopy

A hysteroscopy is a special procedure that allows your physician to look inside your uterus by placing a small telescope with a camera through the cervix.  It is performed to evaluate uterine issues such as abnormal bleeding patterns, uterine polyps or fibroids, or infertility.  It also is performed when an endometrial ablation or hysteroscopic tubal ligation is done.  No incisions are necessary for the procedure.  The benefit of an office-based hysteroscopy is that it allows women to get an immediate diagnosis of their symptoms in a private and safe environment, and to return to normal activities in a short period of time.

  • Do not eat or drink anything six hours prior to the procedure.
  • After the administration of IV sedation by an anesthesiologist to make you more comfortable, your physician will place a local anesthetic around the cervix so that your post-operative discomfort is minimal.
  • The cervix is then slightly dilated to allow the passage of the  hysteroscope.  A small amount of sterile fluid is then introduced into the uterine cavity to help expand the cavity for better visualization.
  • The uterine cavity is then evaluated for any abnormalities, and if any polyps or scar tissue is noted, can be removed immediately.
  • A normal office hysteroscopy takes no more than 30 minutes.
  • You should bring someone with you to take you home.
  • Risks for the procedure are small and include infection and bleeding.
  • Mild menstrual cramping and bleeding are normal for 3-7 days after the procedure

Your physician will have you return to the office within two weeks to make sure you have recovered well and to decide on follow-up care.