Hysteroscopy Specialist

Why is a hysteroscopy done?

During a hysteroscopy, a gynecologist uses a lighted tool to view the cervix, uterine lining and the openings of the Fallopian tubes. It may be performed for diagnostic purposes to determine the cause of abnormal bleeding in premenopausal women or any bleeding at all in postmenopausal women. A hysteroscopy can be used to diagnose abnormal structures in the womb and inspect the thickening of the uterine walls. The procedure may also help your doctor detect the causes of infertility or repeated miscarriages.

For treatment purposes, a hysteroscopy may be performed to remove adhesions resulting from infection or surgical scarring, to remove uterine growths, or to prevent future pregnancies by inserting an implant into the Fallopian tubes. In some cases, a hysteroscopy may be used to locate an intrauterine device so that it can be removed. Certain procedures, such as uterine ablation, can be performed through the scope through the use of small tools attached to the tool. Ablation is the use of cold, heat, or electricity to destroy tissue interfering with normal functioning.

What can I expect during the hysteroscopy?

Most hysteroscopy procedures can be performed in the doctor’s office. Dr. Allen or his staff may give patients special instructions to adhere to for two weeks before the procedure, such as avoiding any medications that make it hard for blood to clot, such as aspirin, ibuprofen, naproxen or prescription blood thinners. Before the hysteroscopy, general or local anesthesia may be applied to prevent pain and discomfort and the cervix may be dilated with special devices or medications.
To begin the procedure, a speculum is gently inserted into the vagina, in the same manner you’re used to during your routine yearly exam. Then, the hysteroscope, a thin, lighted tool, is inserted and moved through the cervix into the uterus. This tubing is less than a quarter of an inch in diameter. Your doctor will then put a fluid, like saline, into the scope to expand the uterus, so it can be seen properly. He’ll also examine the opening of the uterus (cervix) and the openings of the Fallopian tubes. If there are any suspicious tissues, he may take a biopsy to aid in diagnosis.

What can I expect during recovery?

Unless you were sedated with general anesthesia, you’re probably welcome to go home shortly after the procedure. You may experience minor cramping or a slight bloody or watery discharge for a few days after a hysteroscopy. Normal activity can be resumed within 1-2 days but refrain from sexual activity until your doctor has deemed it okay.

Contact Patrick L. Allen, MD, II, PLLC for more information regarding the hysteroscopy procedure.