During a hysteroscopy, the physician will view the inside of the uterus through a hysteroscope, which is inserted via the vagina. A hysteroscope is a thin, hollow, lighted tube. In order to bring the inside of the uterus into view clearly, the gynaecologist will insert fluids during the hysteroscopy, which assist in keeping the view clear. The hysteroscope will be connected to a camera transmitting the footage to a viewing screen. If you want to, you can also watch what is happening on the screen.
There are two types of hysteroscopy: a diagnostic hysteroscopy and a therapeutic hysteroscopy.
A diagnostic hysteroscopy is a way for your physician to examine the inside of your uterus for irregularities.
There are several reasons to do a diagnostic hysteroscopy:
Abnormal blood loss during or in between menstruations
Failure to menstruate following a curettage (surgical procedure used for miscarriages)
Repeated miscarriages
For the evaluation of internal scarring following a caesarean section
If irregularities were seen during an ultrasound examination
During a therapeutic hysteroscopy, we do more than just examine, as we do during a diagnostic hysteroscopy. We also conduct a treatment of some kind. Through the hysteroscope, your physician can insert instruments into the uterus. This may be necessary to remove intrauterine lesions, polyps or myomas.
Our facility can conduct smaller procedures. More intensive procedures will preferably take place under anaesthetic. We can refer you for this.