Hysteroscopy

The Women's Group uses hysteroscopy, a minimally invasive procedure that requires no abdominal incision, to view the inside of the uterus. During the procedure, a thin, lighted scope called a hysteroscope is inserted through the vagina and cervix, allowing your provider to see the uterine cavity clearly on a video monitor. Hysteroscopy can help identify conditions such as polyps, fibroids, and scar tissue, and in many cases, these can be treated in the same procedure. A hysteroscopy may also be used to collect an endometrial biopsy for diagnostic purposes. Because there's no abdominal incision, recovery is typically quick, and most patients are able to go home the same day.

The Women's Group recommends a hysteroscopy for diagnostic purposes when a patient experiences abnormal bleeding, repeated miscarriage, or unexplained infertility. This procedure can also be used to treat certain conditions, such as uterine fibroids or polyps, or to perform endometrial ablation in patients with certain types of abnormal bleeding.

During a hysteroscopy, the patient receives local, regional, or general anesthesia, which varies depending on the purpose of the procedure. Our doctors place a speculum in the vagina to hold it open during the procedure. Then, they guide the hysteroscope into the vagina, through the cervix, and into the uterus.

The Women's Group performs hysteroscopy as an outpatient procedure, which means the patient returns home after it's complete.

Most patients tolerate hysteroscopy well, though what you feel during the procedure depends on the type of anesthesia used. Patients who are awake, typically for an in-office hysteroscopy using local or no anesthesia, may experience some cramping similar to menstrual cramps. Patients under general anesthesia won't feel anything during the procedure, but may experience mild side effects, such as grogginess or nausea, as the anesthesia wears off. Your provider will discuss anesthesia options with you ahead of time to help ensure your comfort throughout the procedure.

Like any surgical procedure, hysteroscopy carries certain risks, though serious complications are uncommon. These can include:

• Infection
• Bleeding
• Injury to the uterus or cervix
• Risks related to anesthesia
• Rarely, an air embolism if gas is used during the procedure

If you're worried about the risks, the expert medical staff at The Women's Group can help you understand your options. Call or schedule an appointment online.

Hysteroscopy isn't recommended for every patient. Your provider may advise against the procedure, or recommend delaying it, if you:

• Are pregnant or may be pregnant
• Have an active pelvic infection or certain genital infections
• Have confirmed cervical or endometrial cancer
• Are experiencing heavy vaginal bleeding at the time of the procedure

Because every patient's health history is different, our team will review your medical history and discuss whether hysteroscopy is the right option for you.