Operative Hysteroscopy

Hysteroscopy is a minimally invasive tool  we  use to help diagnose and treat many common problems women face, from pain to abnormal bleeding. Many women suffer from abnormally heavy or painful periods, or other concerning bleeding patterns such as postmenopausal spotting. Hysteroscopy can be useful to visualize the inside of the uterus or endometrial lining to evaluate for problems such as fibroids, polyps or abnormal cells.

How is it performed?

Hysteroscopy uses a narrow fiberoptic camera that passes through the vagina and cervix to visualize the upper uterine lining. Typically we will apply anesthetic to the cervix and then determine whether the cervix is open enough to accommodate the hysteroscope. If it is not, we  may open the cervix slightly, or “dilate” the cervix to allow the camera to pass without difficulty. It is then possible to directly visualize and evaluate what may be causing your symptoms. Tiny “micro instruments” may be passed through the tube that houses the camera and may be used to treat abnormalities found.

In-office hysteroscopy?

Having your evaluation in our office, rather than the hospital, can benefit you with comfort, convenience and financial savings. We will work with you to form your individualized plan for achieving your maximum comfort. Minor procedures such as the removal of a small polyp or direct biopsy may be performed without difficulty. This procedure, done in our office, can often take less than a third of the time it would take at the hospital or outpatient center.

How is hysteroscopy different from ultrasound?

Ultrasound uses sound waves to make images that  we interpret to form  a diagnosis. Hysteroscopy provides direct visualization of the uterine lining and may also allow treatment at the same time as a diagnosis.

What are the risks of hysteroscopy?

While complications during and following hysteroscopy are rare, they do exist.

Infection: All surgery carries the risk of infection. This is why all instruments are carefully sterilized and prepared whether in the hospital operating room or at the office. Additionally, cleansing agents are used to clear the vaginal and cervical area of bacteria. However, there remains a very low risk that bacteria from the vagina can pass to the uterine lining. You should let us know if you experience:

  • Fever greater than 101 degrees
  • Abnormal vaginal discharge
  • Heavy bleeding
  • Increasing or severe lower abdominal pain
  • Bleeding: While some bleeding is expected after hysteroscopy- heavy or prolonged bleeding should be reported.
  • Pain: Most people require minimal pain medication during recovery.


For more information, or to schedule an appointment, contact us here.