A hysteroscopy is done to view the lining of the uterus. A thin instrument called a hysteroscope is inserted into the vagina and moved gently through the cervix into the uterus. The hysteroscope has a camera with a little light that shows an image of the uterine lining on a video screen.
A hysteroscopy may be done for a variety of purposes:
- to determine the cause of abnormal bleeding, in which case a heated tool can be passed through the hysteroscope to stop the bleeding
- to see if a problem in the uterus is preventing pregnancy
- to remove fibroids, polyps or other growths in the uterus
- to find and remove a misplaced intrauterine device (IUD)
- to check for endometrial cancer
- to remove problem areas in the lining of the uterus (endometrial ablation)
- to place a contraceptive implant into the opening of the fallopian tubes as a form of permanent sterilization
During a hysteroscopy, a small sample of tissue (biopsy) can be taken. The sample is viewed with a microscope to check for any problems. In cases of infertility, another surgery, called a laparoscopy, may also be performed at the same time as a hysteroscopy.
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