Hysteroscopy is a diagnostic and surgical procedure that makes examining the inside of the uterus possible without making an abdominal incision. During hysteroscopy, a lighted viewing instrument called a hysteroscope is inserted through the vagina and cervix and into the uterus. Treatment can also be done through the hysteroscope during the same procedure.
Dr. Abaé may also recommend a diagnostic hysteroscopy to confirm results of other tests, such as hysterosalpingography (HSG). An HSG is a test that uses specialized X-rays and dye to check the uterus and fallopian tubes for malformation or blockage leading to infertility.
A hysteroscopy may be performed to:
When performed for fertility treatment, a hysteroscopy usually involves the removal of uterine fibroids, polyps, or adhesions.
While the patient is under anesthesia, the cervix is dilated, allowing for the insertion of the hysteroscope into the uterine cavity. Carbon dioxide gas is used to gently inflate the uterus, making it easier to see and access the areas to be treated. Specialized instruments are then used to perform the necessary fertility treatment procedure. When the operation is complete, the gas is released.
The length of the actual procedure varies depending on whether it’s a diagnostic hysteroscopy or operative hysteroscopy, and what condition is being treated. A hysteroscopy can last five minutes to more than an hour. Dr. Abaé discusses the procedure with you at length before scheduling your hysteroscopy, including the expected length of the procedure.
You’ll be monitored carefully for a time after surgery to make sure you aren’t having any adverse reactions to the procedure or anesthesia used. Since no incisions are necessary, there are no stitches to be removed, and recovery tends to be very brief. Depending on the type of conditions being treated, most patients return to normal activities quickly and experience only mild, if any, discomfort.
Feel free to email us regarding any scheduling or general questions!