How is Diagnostic Hysteroscopy done?
Unless a woman has major medical problems, we attach a video camera to the hysteroscopy, so our patient can also see, and then insert the hysteroscopy into the uterus under direct vision while using either saline to fill the uterus. We then can look for fibroids, polyps, and other problems that may be causing bleeding. This often takes about a minute or two. The hysteroscope is removed. A small plastic tube may be used to take a sample of the lining of the uterus. That's it!
Isn't this too painful to do in the office?
By being very gentle, and using local anesthesia, there is usually minimal discomfort during hysteroscopy. Most women are able to get up and return to their normal activities immediately. If someone is very anxious, it is possible to give a short acting narcotic intravenously. This makes it very unlikely that the procedure will be uncomfortable.
What is Operative Hysteroscopy?
During diagnostic hysteroscopy the hysteroscope is used just to observe the endometrial cavity (inside of the uterus.) During operative hysteroscopy a type of hysteroscope is used that has channels in which it is possible to insert very thin instruments. These instruments can be used to remove polyps, to cut adhesions, and do other procedures. In many situations, operative hysteroscopy may offer an alternative to hysterectomy.