Diagnostic hysteroscopy is a medical procedure used to examine the inside of the uterus (the womb) and the cervix. It involves the use of a hysteroscope, which is a thin, lighted tube with a camera at the end. The hysteroscope is inserted through the vagina and into the uterus, allowing the healthcare provider to visually inspect the uterine cavity and the lining of the uterus.
Heres an overview of the procedure:
1. Preparation: Before the procedure, you may be asked to empty your bladder. You may also be
given medication to help relax the cervix and reduce discomfort during the procedure.
2. Positioning: You will typically lie on your back with your feet in stirrups, similar to the position
used during a pelvic exam.
3. Insertion of the Hysteroscope: The healthcare provider will gently insert the hysteroscope
through the vagina and cervix and into the uterine cavity. The camera on the hysteroscope sends images
to a monitor, allowing the healthcare provider to see the inside of the uterus in real-time.
4. Examination: The healthcare provider will carefully examine the uterine lining for any
abnormalities, such as polyps, fibroids, adhesions, or other growths. They may also evaluate the shape
and size of the uterus.
5. Biopsy or Sampling (if needed): If any suspicious areas or abnormalities are found during the
examination, the healthcare provider may take a biopsy or tissue sample for further analysis. This can
help diagnose conditions like endometrial cancer.
6. Removal of Abnormalities (if needed): In some cases, if small polyps or fibroids are discovered
during the procedure, they may be removed or treated during the same hysteroscopy.
7. Conclusion: Once the examination is complete, the hysteroscope is removed, and you may rest
for a short period to recover from any discomfort or side effects.
Diagnostic hysteroscopy is often used to investigate the cause of various gynecological symptoms, including abnormal uterine bleeding, recurrent miscarriages, infertility, and pelvic pain. It can provide valuable information to guide further treatment or surgical procedures if necessary. It is generally considered a safe and minimally invasive procedure with a relatively short recovery time.
However, as with any medical procedure, there can be risks and potential complications, including infection, bleeding, or injury to the uterus or other nearby organs. Your healthcare provider will discuss these risks with you before the procedure and provide you with information on what to expect during and after the hysteroscopy.