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Hysteroscopy is a minimally invasive surgery that  involves using a hysteroscope to visualize the endometrial cavity, interior of the uterus, to evaluate and treat common gynecologic problems.

A hysteroscope is a telescope that is inserted through the vaginal canal, into the cervical canal and finally entering the endometrial cavity.   It is connected to a video monitor which allows the full visualization of the

  • cervical canal
  • right and left ostia, openings of the fallopian tubes
  • endometrial cavity, uterine lining

Once the hysteroscope is introduced into the endometrial cavity, a fluid is introduced under pressure into the cavity to open the walls.   This fluid pressure allows the uterine cavity to be seen.  There is an outflow tube used to flush out any blood and tissue debris that obstructs the view.

There are ports in the hysteroscopic system that are used to introduce biopsy instruments, scissors, resection loops and ablation balls.   The biopsy device allows me to take pinch biopsies from any area in the uterine cavity.  The handheld scissor allows me to cut away scar tissue.  The resection loop is used to shave protruding fibroids.  Finally, the coagulation ball is used to electrically coagulate bleeding blood vessels.

The hysteroscopy is usually performed in conjunction with dilatation and curettage (D&C), which allows a complete sampling of tissue of the endometrial cavity.

The main risks of complications include

  • bleeding
  • infection
  • perforation of the uterus, puncture
  • after perforation, injury to bladder
  • after perforation, injury to bowel

When performed by an experienced surgeon, hysteroscopy allows for accurate diagnosis and effective treatment of many gynecologic problems.

Frequently Asked Questions

What is Hysteroscopy?
Hysteroscopy is a procedure with which your doctor can view the lining of your uterus. The method is minimally invasive, with no incisions made on the body. A 12-inch camera, no wider than a pencil, is introduced through the vagina and gently moved through the open cervix into the uterus. Hysteroscopy is commonly required to treat uterine gynecologic problems such as polyps, fibroids, infertility, uterine scar tissues, abnormal bleeding and more.

What is the average length of time of a Hysteroscopy procedure?
The average length of a hysteroscopy procedure is between 30 to 60 minutes. An additional hour is spent afterward in our recovery room, where a Registered Nurse will make sure your needs are fully met.

Is there an overnight hospital stay after the procedure?
No, one of the benefits of Hysteroscopy is that it is a same day procedure with low complication rates and fast recovery.

What type of anesthesia is used for hysteroscopy?
We perform this procedure under conscious sedation. You will be asleep during the procedure and will awaken within minutes after the surgery is completed.
You will not be paralyzed or intubated. Anesthesia services are provided by board certified anesthesiologists.

What is the postoperative period like?
You may experience discomfort at the surgical site for the first few days, after which it should diminish and go away. We always send patients home with prescriptions for pain medication and antibiotics so they can rest in comfort. Full healing takes approximately one week.

When can I return to work post Hysteroscopy?
Most patients are able to return to work within two days after surgery. For your convenience, we can also provide general and discrete medical excuse letters for work.

When can I resume exercise post Hysteroscopy?
We recommend avoiding strenuous exercise for 1 week.

Does insurance cover the cost of a Hysteroscopy?
Insurance usually does cover this procedure because it is considered medically necessary.

What is my next step, if I’m interested in a Hysteroscopy?
For women considering hysteroscopy, Dr. Sorkin would be happy to discuss this procedure with you at a private consultation in the office. Please give us a call anytime at 855-447-1212.

If I am from out of town, are there hotels in the area?
Yes, thanks to the central location of our medical center, there are numerous hotels in the area – even one right across the street. If you would like detailed information on transportation and accommodations, please let us know when scheduling your consultation over the phone.