Hysteroscopy is an important tool in the study of infertility, recurrent miscarriage or abnormal uterine bleeding. Diagnostic hysteroscopy is used to examine the inside of the uterus, known as the uterine cavity. It is helpful in diagnosing abnormal uterine conditions, such as intrauterine fibroids, scarring, polyps and congenital malformations.
Hysteroscopy is performed by inserting a small fiberoptic probe into the uterine cavity. We use a system called a microhysteroscope, which is extremely small and generally we do not need to dilate the cervix prior to this procedure or need any other instrumentation. A small amount of fluid is inserted into the uterine cavity so that the cavity expands and enables the physician to view the internal structure of the uterus. Generally this is very well-tolerated. Patients who have had endometrial biopsy or hysterosalpingogram note that the hysteroscopy is generally much less uncomfortable. There may be a slight amount of discomfort and after the procedure you may resume your usual activities.
Approximately one hour before your procedure it may be helpful to take a nonsteroidal anti-inflammatory medication, such as Advil or Motrin, to help lessen any cramps.
Complications of diagnostic hysteroscopy are rare and seldom life-threatening. Perforation of the uterus (a hole puncture in the uterus) is the most common complication, but this usually heals on its own without requiring additional surgery.
Following hysteroscopy some vaginal discharge or cramping may be experienced for several days. Sexual intercourse should be avoided for one to two days or for as long as bleeding occurs.
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