Hysteroscopy is a procedure that allows your doctor to look inside your uterus in
order to diagnose and treat causes of abnormal bleeding. Hysteroscopy is done using
a hysteroscope, a thin, lighted tube that is inserted into the vagina to examine
the cervix and inside of the uterus. A small telescope connected to a camera is
inserted through the cervical canal. This is done either under general anaesthetic
or under sedation as a day case. The uterine cavity can be examined for fibroids
developed within the uterine cavity, endometrial polyps or adhesions.Hysteroscopy
can be either diagnostic or operative.
What is diagnostic hysteroscopy?
Diagnostic hysteroscopy is used to diagnose problems of the uterus. Diagnostic hysteroscopy
is also used to confirm results of other tests, such as hysterosalpingography (HSG).
HSG is an X-ray dye test used to check the uterus and fallopian tubes.
Additionally, hysteroscopy can be used with other procedures, such as laparoscopy,
or before procedures such as dilation and curettage (D&C). In laparoscopy, your
doctor will insert an endoscope (a slender tube fitted with a fiber optic camera)
into your abdomen to view the outside of your uterus, ovaries and fallopian tubes.
The endoscope is inserted through an incision made through or below your navel.
What is operative hysteroscopy?
Operative hysteroscopy is used to correct an abnormal condition that has been detected
during a diagnostic hysteroscopy. If an abnormal condition was detected during the
diagnostic hysteroscopy, an operative hysteroscopy can often be performed at the
same time, avoiding the need for a second surgery. During operative hysteroscopy,
small instruments used to correct the condition are inserted through the hysteroscope.