Hysteroscopy

What is Hysteroscopy?

Application areas of Hysteroscopy (When is hysteroscopy recommended?)

• Diagnostic Hysteroscopy: Used to investigate and diagnose symptoms or problems within the uterus, such as heavy periods, unusual vagina bleeding, pelvic pain, post-menopause bleeding, recurrent miscarriages, the presence of polyps or fibroids, and difficulty in getting pregnant.
• Operative Hysteroscopy: Involves using the hysteroscope to perform specific surgical procedures, such as removing polyps or fibroids, correcting uterine abnormalities, intrauterine adhesions or scar tissues.

How is a hysteroscopy done?

• Hysteroscopy is generally performed in operating room conditions. The patient may be given local anaesthesia or be under general anaesthesia, depending on the nature of the procedure. Office hysteroscopy (diagnostic hysteroscopy) is performed only with local anaesthesia.
• The vagina and cervix are cleaned with an antiseptic solution.
• A hysteroscope (long, thin lighted tube with a camera) inserted through the cervix into the uterus. (Some cramping and discomfort can be experienced as it passes through the cervix)
• A solution is used to expand the uterus, allowing better visualisation.
• The doctor examines the uterine lining and structures, looking for abnormalities.
• If the procedure is purely diagnostic, the doctor may observe and gather information about the condition of the uterus.
• If treatment is needed, small instruments may be passed through the hysteroscope to remove polyps, fibroids, scar tissue or correct abnormalities.

Advantages of Hysteroscopy

• Minimally invasive: Hysteroscopy does not require abdominal incisions.
• Direct visualisation: Provides a clear view of the uterine cavity, allowing for accurate diagnosis and treatment.