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Hysteroscopy is an endoscopic method that permits the illumination of the uterine cavity and the mucous membranes lining it. This entails inserting an optical instrument of only a few millimetres in diameter through the cervix into the uterine cavity. At a specific rate of pressure gas or liquid is introduced into the uterus in order to distend it and allow inspection. The greatest advantage of this method is that the parts of the uterine cavity can be seen directly and it’s possible to take specific tissue samples. This is done by inserting very fine instruments through a sheath. Hysteroscopy now spans the diagnostic gap between vaginal sonography done as part of an ultrasound examination, which only provides indirect examination of the uterine lining and abrasion, in which lining is removed with no direct visual control.

Hysteroscopy is normally done under general anaesthesia. If the procedure is being performed for diagnostic purposes only local anaesthetic can theoretically be used in favour of general anaesthesia. Hysteroscopy is particularly required in cases where polyps are present or there are fibroids extending into the uterine cavity.

Endoscopy also plays a big role in diagnosing sterility (the inability to become pregnant), a repeated miscarriage or infertility (the inability to carry a pregnancy to full term). The openings of the Fallopian tubes at the top of the uterine cavity can be visualised as well as any malformations in the uterine cavity. It is now possible to do more that just assess pathological abnormalities of the uterine cavity. They can also be remedied. Operative hysteroscopy entails an additional sheath specifically employed to ablate polyps, remove fibroids and septums (dividing membranes in the uterus). If there is excessive heavy bleeding an obliteration of the uterine cavity is also possible to stop or at least reduce the amount of bleeding. As a patient endoscopy in many cases enables you to avoid larger-scale surgical intervention via an abdominal incision and preserve the uterus as an organ.

Following such hysteroscopic interventions there may at most be some complaints about periodical cramping. You’ll recover very quickly and rarely stay with us for longer than 2 hours after the operation.