There are many reasons why your doctor may recommend a hysteroscopy. Hysteroscopy is a procedure used to diagnose or treat problems in the uterus. The hysteroscope is a long, thin, telescope-like lighted device. It is inserted through the vagina and cervix into the uterus. A camera is attached to the hysteroscope and the image of the inside of the uterus is transmitted onto a video screen.
Hysteroscopy can be done in our office under local anesthesia and mild sedation or in the operating room under general anesthesia. During the procedure, fluid is put through the hysteroscope to expand the uterus. Saline (salt water) is the fluid that is most commonly used for this. It allows your health care provider to see the inside of the uterus more clearly. Small instruments can then be passed through the hysteroscope to take biopsies or remove growths inside the uterus such as fibroids or polyps. Also, permanent sterilization can be performed with the hysteroscope using Essure (small coils placed into the tubal openings to block the tubes). Hysteroscopy can also be used to remove adhesions (scar tissue) from the inside of the uterus that might occur after infection or prior surgery. It can also be used to locate a lost IUD.
Hysteroscopy is a very safe procedure, but there is a slight chance of problems occurring during the procedure or soon afterward. There is a slight risk that a small hole could be placed through the uterine wall during the procedure (uterine perforation). A minimal possibility of heavy bleeding or infection after the procedure could also happen. It is normal to have some mild cramping and some light bleeding for a few days after the procedure. If you are experiencing more than mild cramping or heavy bleeding, please call our office. If over the counter pain medications are not relieving your pain we would like you to call our office at 262-544-4411.