A hysteroscopy is a way for your doctor to look at the lining of 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 (endometrium) on a video screen.
hysteroscopy may be done to find the cause of abnormal bleeding or bleeding
that occurs after a woman has passed
menopause. It also may be done to see if a problem in
your uterus is preventing you from becoming pregnant (infertility). A
hysteroscopy can be used to remove growths in the uterus, such as
Your doctor may take a small
sample of tissue (biopsy). 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.
Why It Is Done
A hysteroscopy may be done to:
- Find the cause of severe cramping or abnormal bleeding. Your
doctor can pass heated tools through the hysteroscope to stop the
- See whether a problem in the shape or size of the uterus
or if scar tissue in the uterus is the cause of infertility.
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
- Find the possible cause of repeated
miscarriages. Other tests may also be
- Find and remove a misplaced
intrauterine device (IUD).
- Find and remove
small fibroids or polyps.
- Check for
- Use heated tools to remove problem areas
in the lining of the uterus (endometrial ablation).
- Place a contraceptive implant (such as Essure)
into the opening of the fallopian tubes as a method of permanent
How To Prepare
Tell your doctor if you:
- Are or might be pregnant.
taking any medicines.
- Are allergic to any
- Have had bleeding problems or take blood-thinners, such
as aspirin or warfarin (Coumadin).
- Have been treated for a vaginal,
cervical, or pelvic infection in the past 6 weeks.
- Have any heart
or lung problems.
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.
Do not douche, use tampons,
or use vaginal medicines for 24 hours before the hysteroscopy.
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.