Uterine Ailments: Evaluation and Treatment with Hysteroscopy

Uterine bleeding abnormalities can result from many different things. Fibroids, polyps, (pre)cancerous cells, and hormonal irregularities are just a few. 

Hysteroscopy is one of the more commonly recommended and performed procedures in gynecology, and it helps diagnose and treat many of these concerns. 

Oftentimes, hysteroscopy is used in women with fertility concerns where a uterine anomaly may be suspected as well.

Hysteroscopy uses a thin scope with a camera on it to visually inspect the uterine cavity. Typically this is done with either intravenous sedation or local anesthesia. It does not require anesthesia in most patients, and there are no scars or stitches anywhere. 

Using hysteroscopy, our doctors can diagnose and treat fibroids and polyps found inside the uterus cavity. If no obvious abnormalities are noted, then our doctors may biopsy the lining of the uterus to rule out chronic infection, precancerous cells of the uterus, or even cancerous conditions. 

Patients usually go home within 1-2 hours of the completion of a hysteroscopy procedure, and may return to work within a few days if desired. 

Patients may resume all normal activities, including intimacy, at about 2 weeks post procedure. Very few serious complications or risks are associated with hysteroscopy, especially in the hands of experienced surgeons such as Drs. Khraizat and Bui.  There exists a very small risk of uterine perforation, infection or heavy bleeding.  

Hysteroscopy may be used with the Myosure device to excise intrauterine fibroids and polyps.  It may also be used with the Novasure device to perform endometrial ablation for heavy periods. 

Please follow up with our office by telemedicine or personal visit if you need additional information on these often life changing procedures.