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Serving communities through Greater Boston, MA, the gynecologic surgeons at Newton-Wellesley Hospital’s center for Minimally Invasive Gynecological Surgery (MIGS) can provide both diagnostic and therapeutic hysteroscopy procedures to diagnose and treat a variety of conditions. If you would like to learn more about hysteroscopy continue, reading. If you would like to discuss having a hysteroscopy at MIGS, contact us to arrange for a consultation.
What is a hysteroscopy?
Hysteroscopy may be used for both diagnostic and therapeutic purposes. The hysteroscope allows for easy visual access to the interior of the cervix and uterus to assess the lining of these structures. Therapeutic maneuvers, such as taking a tissue sample (biopsy), removal of polyps or fibroid tumors, removal of adhesions or scar tissue, or preventing bleeding with cautery (destruction of tissue by electric current, freezing, heat, or chemicals) may be performed during a hysteroscopy procedure (also see Endometrial Ablation).
Diagnostic hysteroscopy may be performed in a physician’s office or in an outpatient facility with local or no anesthesia required. More invasive therapeutic hysteroscopy procedures may be performed in the operating room under local, regional, or general anesthesia.
Because the physician is able to see the interior of the cervix and uterus during the procedure, diagnostic hysteroscopy has become a more common procedure than dilation and curettage (D & C), which is performed without endoscopic visualization.
What is a diagnostic hysteroscopy?
This procedure is typically done in the office and takes only a few minutes. Patients can experience some cramping during the procedure. Taking ibuprofen before the procedure can help reduce the cramping. Usually once the procedure is done, the cramping goes away.
What is an operative hysteroscopy?
What are the reasons for a hysteroscopy?
Therapeutically, hysteroscopy may be used to help correct uterine problems. For example, some fibroids, polyps, uterine septums or adhesions may be removed through the hysteroscope, often eliminating the need for more invasive surgery. Endometrial biopsy or ablation (removal of the endometrial lining) may be performed via hysteroscopy.
There may be other reasons for a physician to recommend a hysteroscopy.