Treatments · Hysteroscopy
Hysteroscopy: seeing and treating the inside of the uterus with no cuts
In a hysteroscopy a very thin camera is passed through the cervix, with no cuts, to see the inside of the uterus directly. If there is a polyp, a fibroid or scar tissue, it can often be corrected right then.
Looking inside, with no cuts
Is it surgery? It is a procedure with no cuts: the camera goes in through the cervix.
A hysteroscopy does two things: it looks and it treats. It is the most direct way to know what the inside of the uterus is like.
A very thin camera is passed through the cervix, and fluid is used to open the space and see all of it.
If a polyp, a fibroid growing inward, scar tissue or a wall dividing the uterus is found, it can often be removed or corrected right then, with very fine instruments passed through the same camera.
Depending on what needs to be done, it is performed in the office with pain medication, or in an operating room under anesthesia.
Afterwards, most women are back to their routine the next day or within a few days. You may have light spotting or watery discharge.
When scar tissue is removed, medication is sometimes prescribed, or a small balloon is left inside the uterus for up to a week, to keep it from forming again.
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What patients ask most
Does a hysteroscopy hurt?
It depends on what is done. It can be performed in the office with pain medication, or in an operating room under anesthesia.
How is it different from a laparoscopy?
A hysteroscopy looks at the uterus from the inside, going in through the cervix, with no cuts. A laparoscopy looks at the outside of the uterus, the tubes and the ovaries, through very small cuts in the abdomen.
What are the risks?
Complications are uncommon: about 2 in every 100 procedures. The most common is a small perforation of the uterus, which usually closes on its own. Infection or scar tissue can also occur.
Sources
This page is for information only and does not replace a medical evaluation. It was prepared based on:
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