Hysteroscopy

Hysteroscopy is a minimally invasive surgical procedure that is used to evaluate and treat disorders within the uterus that can cause or contribute to infertility. Hysteroscopy is the examination of the interior of the uterus and openings of the fallopian tubes using a small endoscope inserted through the cervix. The procedure allows the physician to closely examine the lining and interior shape of the uterus to search for abnormalities that can interfere with implantation or cause recurrent pregnancy losses. These abnormalities include uterine polyps, fibroids, adhesions and uterine septums (abnormal internal walls). Once identified, submucosal fibroids (ones that project into the lining of the uterus) may be removed with a resectoscope (called a myomectomy) and uterine, polyps, septae or adhesions can be resected immediately.

Performed under general anesthesia or conscious sedation in the surgery suite, the cervix is first dilated to allow the hysteroscope to be inserted through and into the uterus. Once the physician has viewed the lining and made a diagnosis, instruments may be inserted through the hysteroscope to cut, cauterize, or biopsy any abnormalities. The patient is normally discharged home within a few hours after completion of the hysteroscopy and is able to return to normal activities the next day. The total recovery time and need for pain medications may vary depending on the extent of the procedure.