Hysteroscopy is a method that allows visualization of the inside walls of the uterus to diagnose and treat uterine anomalies through the vaginal route.
Hysteroscopy is used for investigating the causes of infertility, recurrent miscarriages, or irregular menstrual bleeding, and it is also used for surgical treatment by means of an optical camera.
In which situations hysteroscopy cannot be done:
Diagnostic hysteroscopy is a painless procedure usually performed under local anesthesia in an office setting. Outpatient diagnostic hysteroscopy is also called office hysteroscopy.
It is usually done for the assessment and the treatment of:
Operative hysteroscopy is usually done in the operating room under general anesthesia or sedation/analgesia which requires painful cervical dilatation.
Hysteroscopy can be performed under general or local anesthesia depending on the patient's condition. Hysteroscopy is usually done in the first days just after the end of the menstrual bleeding. This allows better visualization of the uterine cavity and excludes the risk of pregnancy at the time of hysteroscopy.
The time of the procedure changes whether it is diagnostic or operative and can range from less than five minutes to more than an hour.
Although hysteroscopy is a safe procedure and complications from hysteroscopy are very rare, operative hysteroscopy might be potentially life-threatening in such cases as resection of fibroids, or endometrial ablation. These are risks of uterine perforation, fluid-overload syndrome, intraoperative hemorrhage, injury to the cervix, uterus, bowel, or bladder, and intrauterine scarring.
The other risks that could occur in any type of surgery are risks associated with anesthesia, infection, and reaction to the substances used to expand the uterus.
These risk factors can be minimized with qualified technical equipment and by an experienced physician and operation team.