Diagnostic hysteroscopy
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Diagnostic hysteroscopy

Diagnostic hysteroscopy is a commonly performed gynecologic procedure to evaluate the endometrial cavity. It allows your doctor to look inside your uterus in order to diagnose and treat causes of abnormal bleeding. Hysteroscopy is done using a hysteroscope, a thin, lighted tube that is inserted into the vagina to examine the cervix and inside of the uterus. Hysteroscopy can be either diagnostic or operative.

When is operative hysteroscopy used?
Your doctor may perform hysteroscopy to correct the following uterine conditions:

Polyps and fibroids:Hysteroscopy is used to remove these non-cancerous growths found in the uterus.
Adhesions: Also known as Asherman’s Syndrome, uterine adhesions are bands of scar tissue that can form in the uterus and may lead to changes in menstrual flow as well as infertility. Hysteroscopy can help your doctor locate and remove the adhesions.
Septums: Hysteroscopy can help determine whether you have a uterine septum, a malformation of the uterus that is present from birth.
Abnormal bleeding: Hysteroscopy can help identify the cause of heavy or lengthy menstrual flow, as well as bleeding between periods or after menopause. Endometrial ablation is one procedure in which the hysteroscope, along with other instruments, is used to destroy the uterine lining in order to treat some causes of heavy bleeding.

When should the procedure be performed?
Your doctor may recommend scheduling the hysteroscopy for the first week after your menstrual period. This timing will provide the doctor with the best view of the inside of your uterus. Hysteroscopy is also performed to determine the cause of unexplained bleeding or spotting in postmenopausal women.

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