Hysteroscopy


Definition

Hysteroscopy is a procedure to look at the inside of the womb (uterus). Your health care provider can look at the:

This procedure is commonly used to diagnose bleeding problems in women, remove polyps or fibroids, or perform sterilization procedures.

Alternative Names

Hysteroscopic surgery; Operative hysteroscopy; Uterine endoscopy; Uteroscopy; Vaginal bleeding - hysteroscopy; Uterine bleeding - hysteroscopy; Adhesions - hysteroscopy; Birth defects - hysteroscopy

Description

Hysteroscopy gets its name from the thin, lighted tool used to view the womb, called a hysteroscope. This tool sends images of the inside of the womb to a video monitor.

Before the procedure, you will be given medicine to help you relax and block pain. Sometimes, medicine is given to help you fall asleep. During the procedure:

Small tools can be placed through the scope to remove abnormal growths (fibroids or polyps) or tissue for examination.

Hysteroscopy can last from 15 minutes to more than 1 hour, depending on what is done.

Why the Procedure Is Performed

This procedure may be done to:

This procedure may also have other uses not listed here.

Risks

Risks of hysteroscopy may include:

Risks of any pelvic surgery may include:

Risks of anesthesia include:

Risks of any surgery include:

Biopsy results are usually available within 1 to 2 weeks.

Before the Procedure

Your provider may prescribe medicine to open your cervix. This makes it easier to insert the scope. You need to take this medicine about 8 to 12 hours before your procedure.

Before any surgery tell your provider:

In the 2 weeks before your procedure:

On the day of the procedure:

After the Procedure

You may go home the same day. Rarely, you may need to stay overnight. You may have:

You can return to normal daily activities within 1 to 2 days. DO NOT have sex until your provider says it is OK.

Outlook (Prognosis)

Your provider will tell you the results of your procedure.

References

Carlson SM, Goldberg J, Lentz GM. Endoscopy: hysteroscopy and laparoscopy: indications, contraindications, and complications. In: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Comprehensive Gynecology. 7th ed. Philadelphia, PA: Elsevier; 2017:chap 10.

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