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Hysteroscopy
Hysteroscopy is the direct inspection of the inside of the uterus using a slim optical system. No incision is made; the instrument is passed through the cervix into the uterine cavity. It can be performed for diagnosis and, where the finding allows, the problem can be corrected in the same session.
When is it used?
- Irregular or heavy bleeding
- Bleeding after the menopause
- Endometrial polyps and fibroids growing into the cavity
- Intrauterine adhesions (Asherman syndrome)
- Congenital variations such as a uterine septum
- Recurrent pregnancy loss and assessment of the cavity before IVF
- Removal of a displaced intrauterine device
Diagnostic or operative?
Diagnostic hysteroscopy is for inspection only and is usually brief. In operative hysteroscopy, procedures such as removing a polyp, shaving a fibroid, dividing adhesions or resecting a septum are carried out by the same route.
The procedure and afterwards
It is usually scheduled in the days following the end of a period, and most women go home the same day. The type of anaesthesia is chosen according to the procedure and the individual.
Mild cramping and spotting for a few days afterwards are common. Fever, severe pain or heavy bleeding should be reported without delay.
Why it is preferred
- No abdominal incision
- The problem is assessed under direct vision
- In most cases diagnosis and treatment are completed in one session
- Recovery is short