Hysteroscopy is a procedure used to examine the uterus. Hysteroscopy will confirm the presence of any abnormality within the uterus and if it has been agreed beforehand this can be surgically treated at the same time. Hysteroscopy is done using a hysteroscope, a thin, lighted tube that is inserted into the vagina to examine the cervix and the inside of the uterus. Hysteroscopy can be either diagnostic or operative
Prior to the procedure you may be given a medication to help you relax followed by sedation to block the pain. Whilst sedated, you will not be awake and the hysteroscopy will take place.
Hysteroscopy can be done in a private IVF clinic or at the hospital. It will be scheduled when you are not having your menstrual period. To make the procedure easier, your doctor will dilate (open) your cervix before your hysteroscopy by providing specific medication that is inserted into the cervix. A speculum is first inserted into the vagina. The hysteroscope is then inserted and gently moved through the cervix into your uterus with the aid of a fluid, such as saline (salt water) to expand it to provide a clearer view. The amount of fluid used is carefully checked throughout the procedure. Your doctor can view the lining of your uterus and the openings of the fallopian tubes by looking through the hysteroscope. If a biopsy or other procedure is done, small tools will be passed through the hysteroscope.
Hysteroscopy is a relatively safe procedure. There is only a small risk of problems. The uterus or cervix can be punctured by the hysteroscope, bleeding may occur, or excess fluid may build up in your system. Such occurences are rare and are treatable by your doctor.
Reasons for Hysteroscopy
There are multiple reasons to perform hysteroscopy.Assess the uterine cavity in detail and examine possible abnormalities, which cannot be visualized via pelvic ultrasonogram.
1. Remove adhesions that may occur because of infection or from past surgery
2. Remove polyps and intramural fibroids
3. Repair/remove endometrial septum (a piece of tissue dividing the uterus)
4. Diagnose possible cause of repeated IVF failures/implantations