What is Hysteroscopy?
Hysteroscopy can be helpful in the evaluation of infertility, recurrent miscarriage, or abnormal uterine bleeding. A slender instrument called a hysteroscope is inserted through the vagina and into the uterine cavity to look inside. Distending media is introduced into the cavity to allow visualization by the hysteroscope with a light source and camera.
The diagnostic hysteroscopy can be done in the office and usually with very little pain medication needed. Operative hysteroscopies are usually performed in the hospital operating room with general anesthesia.
Reasons for Hysteroscopy
• Abnormal bleeding
• Abnormal sonogram, HSG or sonohysterogram
• Incision of uterine septum
• Lysis of adhesions
• Polypectomy (remove polyp)
• Recurrent pregnancy loss
• Removal of foreign body
• Tubal cannulation (open blocked tube)
What are the Risks of Surgery?
Complications from these procedures are rare and seldom serious. Infections are possible and my require antibiotics before and/or after surgery. However, injury to the bladder, bowel, uterus or blood vessels is possible and should be discussed thoroughly with your doctor. In case of injury, a laparotomy (open surgery) may be required. Patient with previous multiple abdominal surgeries (especially bowel surgery), severe obesity, or a history of pelvic adhesions may have increased risks.
How do I Schedule a Laparoscopy or Hysteroscopy?
If you have not done so already, make an appointment to discuss the procedure with your doctor thoroughly. A short office visit, just before the surgery, may be necessary to complete a pre-operative evaluation and review the consent forms.