Hysteroscopy is a surgical procedure that allows a doctor to look inside the uterus in order to diagnose and treat any problems inside the uterus.
It is done using a hysteroscope, a thin lighted tube that is inserted into the vagina to examine the cervix and inside of the uterus. It can be either diagnostic or operative.
Can be done in an office testing.
Used to diagnose the problems of the uterus.
Can be used with other procedures such as laparoscopy.
Done as a routine in previous IVF failures.
Mullerian anomalies can be diagnosed.
Done under anesthesia in an operation theatre.
During this small instruments used to correct the condition are inserted through the hysteroscope.
Remove endometrial polyps, small fibroids.
Resect uterine septum.
Release adhesions/synechiae in conditions like asherman’s, Tuberculosis.
Within 10 days of menses, will be the right time to give the best view of the uterine cavity.
Could have minimal abdominal cramps or spotting.
Operative type involves the risk of fluid overload.
Single day. Women can return to work next day itself.
If going to be under anesthesia oral intake should be withheld atleast 4 hours before the procedure. It is not necessary to share the pubic hair. Vaginal misoprostol kept 4 hours prior procedure for cervical dilatation and ease of the procedure.
Diagnostic – less than 5 minutes.
Operative – might take 15 to 30 minutes.