What is a hysteroscopy?
Hysteroscopy is primarily used to diagnose and treat the causes of abnormal uterine bleeding. The procedure allows your surgeon to look inside of your uterus with a tool called a hysteroscope. A hysteroscope is a thin, lighted tube that a surgeon inserts through your vagina to examine your cervix and the inside of your uterus.
Hysteroscopy can be a part of the diagnostic process, as well as the treatment process.
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What is diagnostic hysteroscopy?
Diagnostic hysteroscopy identifies structural irregularities in your uterus that may be causing abnormal bleeding. Hysteroscopy may also be used to confirm the results of other tests, such as an ultrasound or hysterosalpingography (HSG). HSG is an X-ray dye test used to check whether your fallopian tubes are blocked. Blocked fallopian tubes may make it difficult to become pregnant.
What is operative hysteroscopy?
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Operative hysteroscopy treats an abnormality detected during a diagnostic hysteroscopy. Your provider may perform a diagnostic and operative hysteroscopy at the same time, avoiding the need for a second surgery. During operative hysteroscopy, your surgeon uses a device to remove abnormalities that may be causing abnormal uterine bleeding.
Endometrial ablation is a procedure that treats abnormal uterine bleeding. Your surgeon uses the hysteroscope to look inside your uterus before using a device to destroy your uterine lining.
Why would I need a hysteroscopy?
Hysteroscopy is primarily used to identify and treat conditions that cause abnormal uterine bleeding, heavy menstrual bleeding, irregular spotting between periods and bleeding after menopause.
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Your doctor may perform hysteroscopy to diagnose and correct the following uterine conditions:
- Polyps and fibroids: Hysteroscopy is used to find and remove these uterine structural abnormalities. Surgical removal of a polyp is called a hysteroscopy polypectomy. Surgical removal of a fibroid is called a hysteroscopy myomectomy.
- Adhesions: Also known as Asherman’s syndrome, uterine adhesions are bands of scar tissue that can form in your uterus and may lead to changes in menstrual flow and cause infertility. Hysteroscopy can help your doctor locate and remove the adhesions.
- Septums: Hysteroscopy can help determine whether you have a uterine septum, a malformation (defect) of the uterus that’s present from birth.
Hysteroscopy may also be used to:
- Diagnose the cause of repeated miscarriages or fertility problems.
- Locate an intrauterine device (IUD).
- Diagnose and remove placental tissue after birth.
Who is a candidate for hysteroscopy?
Your surgeon will review your medical history and evaluate your current health to determine whether a hysteroscopy is appropriate. Although there are many benefits associated with hysteroscopy, it’s not right for everyone. For example, you shouldn’t have a hysteroscopy if:
- You’re pregnant.
- You have a pelvic infection.
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