What is Hysteroscopy?
Hysteroscopy uses a hysteroscope, which is a thin telescope that is inserted through the cervix into the uterus. Modern hysteroscopes are so thin that they can fit through the cervix with minimal or no dilation. Because the inside of the uterus is a potential cavity, like a collapsed airdome, it is necessary to fill (distend) it with water in order to see. Diagnostic hysteroscopy and simple operative hysteroscopy can usually be done in an office setting. More complex operative hysteroscopy procedures are done in an operating room setting.
How is it Done?
Office hysteroscopy is a relatively painless procedure. Upon arrival, the patient will be given a mild pain medicine (Motrin or Anaprox) to help with cramping during the procedure. Next, a local anesthetic will be placed in the cervix. This usually provides excellent relief of any discomfort during the procedure. Your CHCW doctor with then carefully dilate the cervix to allow the “scope” to be placed into the uterus. Water is instilled through the scope to distend the uterus. A light source is also attached to the scope to illuminate the cavity of the uterus. The inside of the uterus can be examined. The tubal ostia can usually be seen. Any abnormalities are usually discussed afterward. In most cases, an endometrial biopsy is performed as well. This is especially true if there is any abnormal bleeding.