Hysteroscopy is a procedure to look inside the uterus. This is done by inserting a thin telescope (called a hysteroscope) through the cervix and into your uterus. Saltwater (saline) is injected into the uterus once the hysteroscope is in place. This opens the uterine cavity and creates a clear
picture on the TV monitor. If we find a problem inside f the uterus (polyp, fibroid, septum, adhesions) we will remove them using hysteroscopic instruments. We will send removed tissue to the lab to check for cancer and other abnormalities.

A hysteroscopy is performed to assess the uterine cavity in women suffering from abnormal uterine bleeding, irregular bleeding, heavy menstrual bleeding, postmenopausal bleeding, absent periods after gynaecological procedures, difficulty getting pregnant, recurrent miscarriages, fibroids or polyps found during an ultrasound examination.
A hysteroscopy is performed to assess the uterine cavity and to treat certain conditions. Uterine submucous fibroids located in the uterine cavity, polyps, uterine septums, scar tissue will be removed during a hysteroscopy procedure. Endometrial ablation procedure follows hysteroscopy to treat women with heavy menstrual and abnormal uterine bleeding. Dilation and curettage (D&C) are performed in conjunction with hysteroscopy which allows a doctor to take a sample of tissue from the uterine lining to send to the pathology lab for an assessment of cancerous cells and other changes that might be causing postmenopausal or abnormal uterine bleeding.

Hysteroscopy is a safe procedure. Problems such as injury to the cervix or the uterus, infection, heavy bleeding, perforation of the uterus, injury to bladder, bowel, vessels or side effects of medication occur in less than 1% of cases. If you experience sharp abdominal pain, fever, an increase in vaginal bleeding or a foul-smelling discharge, please contact the doctor immediately. Do not douche, use tampons or put anything into the vagina for at least one day after the procedure, or until the bleeding stops. It is OK to have sex after the bleeding stops.

Hysteroscopy takes about 15 minutes. You will lie on an exam table with your knees bent, as you do for a pelvic exam. The hysteroscope is inserted through the vagina and into the uterus. This is used to see inside the uterus. Fluid (normal saline) may be injected into the uterus to expand it. You may have a watery discharge, menstrual-like cramps and bleeding for about 24 hours after the procedure. This is normal. You will be able to go home a short time after your procedure. You should not drive for 24 hours following the procedure.
Patients are usually seen two weeks and six after the procedure for a check-up.

Hysteroscopy and removal of an endometrial polyp