In-Office Hysteroscopy
Our expert physicians use a video monitor in the room to provide you with a direct view of what is being seen while the procedure is being performed. Before, during and after the hysteroscopy procedure, your doctor will answer your questions.
Purpose
This test is used to examine the inside lining of a woman’s cervix and uterus.
What is a Hysteroscopy Test?
In-office hysteroscopy is a way of viewing the inside of the uterus by gently inserting an ultra-thin (3mm), flexible fiber-optic camera, called a hysteroscope, into the uterus through the vagina. An in-office hysteroscopy takes place in our MRM office, instead of under general anesthesia in the operating room. This allows your MRM physician to identify any problems that may be originating in the uterus. It is done without making incisions, without anesthesia, and with little discomfort. While the insertion portion of the hysteroscope itself is very thin (thinner than the diameter of a pencil), its advanced optics allow full-color view of the inside of the uterus and the openings to the fallopian tubes.
Timing for the Test
If you are trying to get pregnant in the same cycle as an in-office hysteroscopy, make sure to schedule the test prior to ovulation so that there is no danger of “flushing out” a released egg or developing embryo.
Possible Side Effects and Risks
Although most women report only minor cramping, vaginal bleeding and short-term discomfort during this procedure, some women, especially those who have blocked tubes, report intense pain and are at risk for a flare up of an ongoing long-term pelvic infection with no symptoms before the procedure.
Preparing for the Test
- We advise taking a pain relief medication about 30 minutes prior to the actual procedure.
- If there is a past history of pelvic infection, an antibiotic will be prescribed to prevent infection. You will be instructed to start the antibiotics one day prior to the procedure for three consecutive days duration.
What can it find?
- Structural abnormalities in the inner lining of the cervix and uterus called the endometrium
- Polyps
- Fibroid tumors that grow into the uterine cavity
- Scarring/adhesions
- Abnormal uterine formation from birth (congenital) or previous surgery
A hysteroscopy may be used in combination with a transvaginal pelvic ultrasound including 3-D imaging.
Alternative tests such the hysterosalpingogram (HSG) or saline sonohysterogram may be recommended by your MRM physician, depending on your specific situation.
