Women know of many gynecologic procedures. Many women have heard of terms such as colposcopy, endometrial biopsy, hysterectomy, tubal ligation and others. But most are not familiar with the term “hysteroscopy.” In this brief section we’ll attempt to explain hysteroscopy and how it can benefit women who might be dealing with such issues as abnormal menstrual bleeding, uterine (endometrial) polyps or certain types of fibroids. Hysteroscopy is also often used in the diagnosis of infertility.
Hysteroscopy—sometimes referred to as “Diagnostic Hysteroscopy” and is a test in which a thin “lit” telescope is placed inside the uterus to look within the uterine cavity. The information that is provided by hysteroscopy is enormous.
Here are some of benefits of hysteroscopy
- Direct visualization of endometrial polyps
- Direct visualization of submucous fibroids.
- Direct visualization of uterine cancer.
- Allow for direct sampling of the uterine lining as well as the ability to remove nearly all uterine (endometrial) polyps and many fibroids that cause abnormal uterine bleeding. In the drawing below we illustrate how a uterine polyp can be easily removed at the same time it is visualized through a hysteroscope.
- Another benefit of hysteroscopy is that it replaces such tests as a sonohysterogram—an ultrasound examination of the uterus performed as fluid is injected into the uterine cavity—which is quite a bit more painful and yields far less information.
- Hysteroscopy often allows for simultaneous diagnosis and treatment in a combined procedure we call “see-and-treat-hysteroscopy”
- Finally, the vast majority of hysteroscopies are done in our accredited office-based surgery center with intravenously administered sedation. This avoid unnecessary hospital our outpatient visits and allows procedures to be done in the comfort and convenience of an office-setting.
To learn more about hysteroscopy please contact us at the Center for Menstrual Disorders.