Diagnostic Hysteroscopy

Diagnostic hysteroscopy is the inspection of the uterine cavity by endoscopy.  This procedure involves inserting a thin telescope, connected to a camera, through the cervix and into the uterus. This technology allows the physician to visualize the inside of the uterus and examine the endometrial cavity.  Furthermore, it allows for the diagnosis of any uterine pathology such as fibroids, polyps, and other problems.  Hysteroscopy is an invaluable tool in identifying and/or evaluating the cause of additional issues such as abnormal gynecological bleeding (i.e. heavy menstrual periods or bleeding between periods), uterine malformations, and Asherman syndrome.  Depending on the situation, some physicians may take an endometrial sample during the procedure for further pathological examination, especially for women with a history of abnormal vaginal bleeding or postmenopausal bleeding.

Hysteroscopy not only allows for the diagnosis of intrauterine pathology, but also provides an approach for surgical intervention via operative hysteroscopy.  Fibroids, polyps, and adhesions can be removed with this method as a definitive form of treatment.

Hysteroscopy may be done in an office or hospital setting under local anesthesia with minimal discomfort.  Most women can return to their normal activities immediately following the procedure.  Patients with additional questions or concerns pertaining to diagnostic hysteroscopy or operative hysteroscopy should consult with their health care provider.

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