Hysteroscopy

Hysteroscopy is an endoscopic inspection for possible abnormalities in the cervix and the uterine cavity. These could be polyps, myomas, endometrial inflammation or growth defects. It also allows for treatment of such abnormalities by removing polyps, myomas, uterine septum, small adhesions or by gathering endometrial samples for further examinations. Hysteroscopy is usually indicated based on results of ultrasonography, hysterosalpingography or sonohysterosalpingography examinations, or it can be indicated as a substitute for these other methods. It is the preferred method in modern medicine, often combined with laparoscopy. When used together, these two methods give complete information about the condition of the patient´s internal reproductive organs. Hysteroscopy is performed by an endoscope, a device containing a camera and a light source to examine the uterine cavity.

Preparation for Hysteroscopy The first half of the menstrual cycle is the most optimal time for hysteroscopy – after menstrual bleeding has begun. Preparations are the same as for laparoscopy. Preoperative examination is necessary.

Procedure The physician inserts an endoscope (narrow, 4 – 6 mm thick device) into the uterus through the cervix. The uterine cavity is filled with liquid, which stretches it out and makes it easier to examine. The examination is performed under a general anesthesia. The patient is usually discharged 2 hours after the procedure. If the procedure includes laparoscopy, patient is discharged the next morning.