A hysteroscopy is a procedure by which your doctor looks inside your uterus. He or she uses a thin viewing tool called a hysteroscope. The tip of the hysteroscope is put into your vagina and gently moved through the cervix into the uterus. The hysteroscope has a light and camera hooked to it so your doctor can see the lining on a video screen.
Your doctor can cut and remove scar tissues and can cut the septum. The sample is looked at under a microscope for problems. Another surgery, called a laparoscopy, may also be done at the same time as a hysteroscopy if infertility is a problem.
A hysteroscopy may be done to:
- See whether a problem in the shape or size of the uterus or if scar tissue in the uterus is the cause of infertility.
- Find out septum in uterus.
- Look at the uterine openings to the fallopian tubes. If the tubes are blocked, your doctor may be able to open the tubes with special tools passed through the hysteroscope called cornnual canulation.
- Find the possible cause of repeated miscarriages. Other tests may also be done.
- Find and remove a misplaced intrauterine device (IUD).
- Find and remove small fibroids or polyps.
- Check for endometrial cancer.
- Use heated tools to remove problem areas in the lining of the uterus (endometrial ablation).
- Its an important step before doing IVF . The doctor should know your uterine cavity is normal from inside and know the uterocervical length and angle
- It is best to have a hysteroscopy done when you are not having your menstrual period. If there is a chance that you could become pregnant, the hysteroscopy should be done before you are ovulating so your doctor is sure you are not pregnant.
You may be given a medicine (sedative) to relax you for the test, or general, regional, or local anesthesia can be used. Your doctor will discuss this with you.
If you are going to have general anesthesia, you will need to stop eating and drinking before the test. Follow the instructions exactly about when to stop eating and drinking, or your surgery may be canceled. If your doctor has instructed you to take your medicines on the day of surgery, do so using only a sip of water.
Arrange to have someone drive you home the day of the test in case you are given a sedative.
You will be asked to sign a consent form that says you understand the risks of the test and agree to have it done.