Office Hysteroscopy

An office hysteroscopy is a procedure which is performed to examine the inside of the uterine cavity. This can provide information about your infertility, recurrent miscarriages, or abnormal uterine bleeding. Hysteroscopy allows the physician to diagnosis problems of the uterus such as: abnormal bleeding, polyps, and endometritis.

This procedure is performed between cycle day 5-12, cycle day 1 is the first day of full flow of your menstrual cycle. There is no special preparation needed for the exam, although you may want to empty your bladder prior to the test. You may experience some discomfort with this procedure. You may take Tylenol, Advil or Motrin one hour prior to the procedure to decrease any cramping which may occur. Occasionally, prophylactic antibiotics may be prescribed, if you have a known history of pelvic infections.abnormalities inside the uterine cavity such as fibroids, scarring, infection, polyps, and congenital malformations.

This procedure is performed in our Newark office. You will be asked to lie on your back with your feet placed as for a pelvic exam. A device called a speculum is inserted into the vagina, it holds the walls of the vagina apart to allow the cervix to be viewed. A cotton swab will be used to obtain a specimen for your cervical cultures and PAP, if necessary. The cervix is then cleaned with betadine (please make us aware if you are allergic to shellfish or iodine) or Hibiclens and a thin lighted hysteroscope is passed through the cervix into the uterus. Saline is injected through the scope to expand the uterine cavity which enables the physician to view the uterine cavity and take pictures for documentation. After uterine cavity visualization and documentation, the hysteroscope then speculum will be removed.

Most women are able to go home right away and are back to their normal activities that day. Some of the following symptoms may occur after the test:

  • Cramping
  • Spotting or light bleeding
  • Watery discharge

This test is very safe, but there is a rare risk of pelvic infection. Call your ob-gyn if you have any of the following symptoms:

  • Pain or fever in the day or two after you go home
  • A change in the type or amount of discharge

If any abnormalities are discovered during the exam, you may be asked to have additional studies performed. These studies include, but are not limited to:

If irritation of the uterine cavity is visualized, a prophylactic antibiotic, for both patient and partner, may be recommended until your cervical culture results are received.

Demonstration Video

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