A hysteroscopy is a procedure that is done to diagnose or treat problems of the uterus. This procedure is done at St. Mary’s Hospital and is usually done for patients that have abnormal uterine bleeding. Abnormal uterine bleeding can be classified when a woman’s menstrual cycle is heavier, longer, or occurs less or more often than normal. A hysteroscopy can also be performed to remove adhesions that may occur because of infection or past surgery, diagnose the cause of repeated miscarriages of two or more in a row, locate an intrauterine device, or perform sterilization which is where small implants are placed into a woman’s fallopian tubes as a form of birth control. Before the procedure you may be placed under general or local anesthesia.
A hysteroscopy is performed by using a hysteroscope, a thin, lighted tube that is inserted into the vagina to examine the cervix and inside of the uterus. Then carbon dioxide gas or a fluid such as saline, will be put through the hysteroscope into the uterus to expand it. The gas or fluid makes it easier for the physician to see the lining more clearly. The physician views the lining of your uterus and the openings of the fallopian tubes by looking through the hysterocope. If the physician wants to take a biopsy, they will pass small instruments through the hysterocope to collect the biopsy.
After this procedure you may experience some mild cramping, or vaginal discharge. But if you start to experience a fever, chills, or heavy bleeding you should call your physician right away.