Hysteroscopy

A hysteroscopy can provide important information about the structure and health of the uterus. At Advantia OB-GYN Shady Grove, hysteroscopy is performed using minimally-invasive techniques to help ensure optimal health and wellness in women.

What is a hysteroscopy?

A hysteroscopy is a minimally invasive procedure that uses a special instrument called a hysteroscope to see inside your uterus. The hysteroscope is inserted through the vagina without any need for an incision. Hysteroscopy is most often used to evaluate the uterine lining and to look for causes of specific symptoms like pelvic or belly pain, abnormal uterine bleeding, or difficulty becoming pregnant. The procedure can also be used to remove polyps and fibroids and to take small tissue samples, or biopsies, so that they can be evaluated in a lab.

What happens during a hysteroscopy procedure?

Hysteroscopy is performed as an outpatient procedure so that women can return home the same day. During the procedure, the vaginal canal is gently widened using a speculum and a local anesthetic is used to numb the cervix. The hysteroscope will be inserted into the vagina and advanced through the cervical opening to reach the uterus. A small amount of inert gas may be pumped into the uterine cavity to enlarge it so the interior can be viewed more easily. The hysteroscope can be used to view the uterus directly, or it may be used to transmit images from inside the uterus back to a monitor for viewing. Procedures like fibroid removal and biopsies can be performed with special instruments designed to be used with the hysteroscope. A typical diagnostic hysteroscopy takes about a half hour to perform. Hysteroscopies that include other procedures take a little longer.

How will I feel after the procedure?

After the procedure, there may be some mild bloating until the gas is expelled or absorbed by the body. Vaginal bleeding may occur for a few days. Any discomfort that occurs can be managed with over-the-counter pain medication. When procedures like fibroid removal are performed, bleeding and discomfort may last a little longer.