This is a procedure in which a thin telescope is placed into the uterus in order to diagnose and treat abnormalities. The cervix (mouth of the uterus) is dilated to accommodate the hysteroscope. Fluid or gas is introduced into the uterine cavity to distend it. If an abnormality is detected, treatment is often rendered immediately. Hysteroscopy may be performed in conjunction with laparoscopy or alone. It may be performed under general, regional, or local anesthesia.

Indications:

Hysteroscopy is often performed to diagnose and treat abnormal uterine bleeding. Endometrial polyps, uterine fibroids, scar tissue, and certain birth defects of the uterus can be treated by hysteroscopy.

Contraindications, complications, adverse effects:

Complications are rare and may include perforation of the uterus or other types of injury to the reproductive tract; excessive fluid absorption (leading to metabolic, heart, or breathing problems); bleeding, or infection. Common adverse effects are uterine bleeding and abdominal cramps. Contraindications to hysteroscopy include pregnancy, infection, certain cancers, and severe heart or lung compromise.