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What is a Hysteroscopy?

A hysteroscopy is a diagnostic procedure performed to examine the inside of the uterus. A thin tube with a camera and light at the end, called a hysteroscope, is inserted through the vagina. It allows the physician to view the cervix and uterine walls. Sometimes, gas or liquid is used to expand the uterus and allow a better view. If necessary, tiny instruments can also be passed through the tube and used for certain procedures, such as taking a biopsy or removing a polyp.

Hysteroscopy is often done to figure out the cause of abnormal menstrual bleeding. However, it can also be used to:
  • Identify the cause of recurrent miscarriage
  • Remove polyps or fibroids, non-cancerous growths in the uterus
  • Remove adhesions, scar tissue within the uterus
  • Identify uterine septums, a wall of tissue dividing the uterus
  • Perform ablation, the removal of excess uterine lining

If surgery is necessary, hysteroscopy is often used along with laparoscopy, a kind of surgery performed through small incisions in the abdomen. Tiny tools are passed through the incisions, and the hysteroscope guides the doctors while surgery is performed.