Uterine Evaluation

Hysteroscopy is a minimally invasive procedure that allows your doctor to examine the inside of your uterus. It uses a hysteroscope – a thin telescope-like device with a light – to improve visibility to diagnose several conditions, including:

  • Uterine fibroids
  • Scarring
  • Polyps
  • Congenital malformations

How do I prepare for a hysteroscopy?

Your doctor will advise you on stopping or continuing any medications you take regularly. Follow the instructions on your surgery information sheet to complete any needed pre-op appointments with your surgeon, the laboratory and anesthesiology.

Do not eat or drink anything after midnight the night before your surgery is scheduled. Be sure to arrive two hours before your estimated surgery start time.

What happens during a hysteroscopy?

Hysteroscopy is done under general anesthesia, which means you will be asleep while it takes place. The procedure is done on an outpatient basis and does not require a hospital stay. Hysteroscopy is usually done during the first half of your menstrual cycle after you’ve stopped bleeding but before you’ve ovulated. It can also be done during a different timeframe, but you will need to take progesterone every day through the day of your procedure to keep your uterine lining thin and prevent you from ovulating.

During the procedure, your doctor feeds the hysteroscope through your cervix into your uterus. Carbon dioxide gas or saline is then inserted into your uterus to expand its size and give your doctor greater visibility to examine your uterine lining and fallopian tubes.

When the procedure is finished, you must wait until the effects of the anesthesia have worn off before you may leave. You cannot drive yourself home after the procedure and should arrange for someone to assist with your transportation.

What can I expect after a hysteroscopy?

You can expect to return to your normal activities within one to two days of your hysteroscopy. It is normal to experience slight cramping similar to menstrual pain as well as some bloody discharge for several days.

You should not have sexual intercourse for at least one week after the procedure or as long as bleeding occurs.

Follow the instructions on your surgery information sheet to schedule a post-op appointment with your doctor if needed.

What are the risks of hysteroscopy?

The advanced testing options at the ERC mean we perform your hysteroscopy with minimally invasive techniques instead of major gynecologic surgery. This equals less risk for you with fewer complications and reduced recovery time.

There are some slight risks, including:

  • Infection of the uterus or fallopian tubes
  • Damage to the uterus or cervix
  • Need for additional surgery
  • Fluid overload

When should I call my doctor?

Call our offices at 404-778-3401 if you experience:

  • Fever greater than 100.4 degrees Fahrenheit
  • Severe nausea and vomiting
  • Severe abdominal pain
  • Heavy bleeding that requires more than two pads an hour for more than four hours


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