Click Below to listen to this article
A Hysteroscopy is a medical procedure in which a thin, flexible tube with a camera and light at the end, is inserted into the uterus through the vagina and the cervix to examine the lining of the uterus. The camera on the hysteroscope transmits images of the inside of the uterus to a screen that allows the Physician to clearly see the lining and detect any abnormalities.
Hysteroscopies may be recommended for a variety of reasons, such as abnormal uterine bleeding, repeated miscarriages, unexplained pelvic pain or to investigate a suspected uterine abnormality. It can also be used to diagnose and treat conditions such as fibroids, polyps, adhesions or uterine septums.
During the procedure the patient is typically given anaesthesia to help manage discomfort. A small instrument may be used to gently expand the uterus for better visualisation. If an abnormality is detected, the Physician may use a small instrument to take a sample of tissue(a biopsy) or they may use specialised instruments to remove or treat the abnormality on the spot.
Hysteroscopies are generally a safe and well-tolerated procedure although some patients may experience mild cramping or discomfort afterwards. Recovery time is usually short and most patients are able to resume normal activities within a day or two. Serious complications from hysteroscopy are rare but may include infection or injury to the uterus or other nearby structures.
Dr. Corona will perform all hysteroscopy procedures and will determine if an operative or diagnostic hysteroscopy is needed.
Diagnostic or operative hysteroscopies?
Diagnostic hysteroscopies are primarily for examining the uterus and diagnosing any abnormalities or conditions that may be present.
On the other hand, an operative hysteroscopy is a more invasive procedure that is used to treat conditions within the uterus. During an operative hysteroscopy, specialised instruments are passed through the hysteroscope to remove or treat any abnormalities that are found. Operative hysteroscopies may be used to remove polyps or fibroids, treat adhesions or scar tissue or remove any abnormal tissue or growths within the uterus.
While diagnostic and operative hysteroscopies are different procedures, they can often be performed together as part of a comprehensive evaluation of the uterus. Depending on the specific situation, Dr. Corona may recommend one or both of these procedures to diagnose and treat any abnormalities or conditions within the uterus.
