Hysteroscopy allows your HonorHealth doctor to look inside your uterus through a scope, which has a light and a camera. The device is gently guided into the uterus through the vagina and cervix. On a video screen, your doctor can see the lining of the uterus, as well as the cervical canal and openings to the fallopian tubes.
Hysteroscopy can be used for both diagnosis and treatment by:
- Finding the cause of abnormal menstrual bleeding (heavy periods or bleeding between periods) or bleeding that occurs after menopause. If it appears that tissue is causing this problem, your doctor can use a laser beam or electric current to destroy the tissue (referred to as a D&C) or can use tiny laparoscopic instruments to surgically remove the tissue.
- Taking a tissue sample (biopsy) that can be sent to the pathology lab if there's any concern over a pre-cancerous or cancerous condition.
- Detecting fibroids or polyps that may be growing in your uterus. Using very small hysteroscopic tools, your specialist may be able to remove the fibroids or polyps during the same procedure.
- Seeing if there are any structural issues in your uterus that are preventing you from becoming pregnant.
- Placing coils that block the fallopian tubes, preventing pregnancy.
Hysteroscopy should not be performed if you're pregnant, have an active infection or if you've had cervical or uterine cancer.
Because hysteroscopy is done through the vagina, there's no scarring. The procedure is performed on an outpatient basis under minimal anesthesia. If you are post-menopausal, you may be given some medication the day before to soften the cervix.
After the procedure, you shouldn't need any downtime. You may only experience light cramping for a few days.