Hysteroscopy is a procedure to evaluate the inside of the uterus called the endometrial cavity. The hysteroscope is a thin (3-8mm) telescope like device that is inserted into the uterus through the vagina and cervix. It’s connected to a camera and the endometrial cavity can be visualized directly on the monitor. This procedure allows a detailed survey of the endometrial cavity and also a possible treatment option (operative hysteroscopy), if an abnormality such as scar tissue, polyps or fibroids is detected. It is usually done under anesthesia to minimize discomfort, especially in operative cases. Anesthesia is generally in the form of intravenous sedation, during which time the patient is comfortable and free of pain throughout the procedure.
The indications for hysteroscopy include infertility, fibroids, endometrial polyps, scar tissue inside the uterus (Asherman’s syndrome), irregular bleeding, repeated miscarriages and uterine anomalies. The benefit of hysteroscopy is its accuracy (100%) in diagnosing the problem and also the fact that it allows treatment during the same procedure. It can be done right after the menstrual cycle ends or while on birth control pills to allow the best visualization.