A hysteroscopy is a procedure in which a liquid is inserted into the cervix and womb by a thin tube-like instrument with a camera to allow your gynaecologist a better view of the womb, the womb lining and the parts leading to the fallopian tubes.

When is a hysteroscopy used?
A hysteroscopy can be done for diagnostic reasons or to perform surgery. Dr. Hartell may suggest a hysteroscopy to diagnose the cause of abnormal bleeding, infertility issues and if an intra-uterine device needs to be removed. A hysteroscopy may also be done before beginning surgeries such as a laparoscopy or a cervical dilation and womb curettage (D&C). For surgery, a hysteroscopy may be used to correct an abnormal condition such as adhesions, polyps and fibroids or a malformation (defect) of the uterus.

What does hysteroscopy involve?
This procedure can be done in the hospital under general anaesthesia or in your gynaecologist's rooms with a sedative. Medication or specialised tools called dilators may be used to open the cervix. Next, the liquid is gently pumped into the uterus to expand it. This will help get a better view of the surrounding tissues and lining so that a diagnosis can be made. Abnormalities found in the uterus during the investigation may be surgically removed if possible.

What can I expect afterwards?
Depending on what procedure was done, you will be able to go home once the anaesthesia or sedation has worn off. You may have mild cramping similar to menstrual cramps and can expect some spotting or bleeding.