A hysteroscopy is a procedure that allows your provider to visualize the inside (the cavity) of the uterus. This procedure is usually done in women who have abnormal bleeding. This is a minimally invasive procedure that can be performed in the office or in the hospital. For this procedure your doctor will ask you to come in during the first 10 days of your menstrual cycle. A pregnancy test will be done first (if you have not yet gone through menopause) to confirm that you are not pregnant.
Then your provider will perform a speculum examination while you are laying on your back with your legs gently positioned in stirrups. The cervix is then cleaned with a disinfectant. Sometimes you provider may use a little bit of local anesthetic to ensure that you are comfortable. We also recommend that you take an over the counter pain killer such as ibuprofen before you come to clinic. Once the cervix is clean, a small fiber optic camera is inserted into the uterus. This camera is microscopic and measures approximately 5mm in diameter (less than a ¼ of an inch). The camera allows your provider (and you) to see inside the uterus and determine if there is a cause for your abnormal bleeding. Common reasons for abnormal bleeding include uterine polyps and fibroids which can be removed. Once the hysteroscopy is complete, the camera is removed, you are cleaned and allowed to return to your usual activities. There is no recovery time associated with a hysteroscopy, you may return to your normal activities on the same day. You may experience mild cramping during or after the procedure and this is usually improved with over the counter ibuprofen or Tylenol.
To learn more about hysteroscopy procedure available at Advanced & Minimally Invasive Gynecology, contact our practice.