Hysteroscopy is a minor surgical procedure that may be performed in the office or the operating room and may be used for diagnosis, treatment or both. The procedure involves inserting a small telescope through the cervix into the uterus to view the lining and architecture of the uterine cavity.

Before the procedure, the cervix is usually dilated. After insertion of the telescope, gas or liquid is used to distend the uterus for better visualization.

The procedure may be combined with other procedures such as D&C, thermal ablation or laparoscopy. It is frequently done as part of the evaluation of abnormal uterine bleeding, infertility, repeated miscarriage, displaced IUDs and abnormal growths.

Hysteroscopy is a safe procedure. Problems such as injury to the cervix or uterus, infection, heavy bleeding or side effects from anesthesia occur in less than 1 percent of cases. The procedure is best done during the first week after a menstural period. If you are having the procedure in the hospital it is important not to eat or drink anything for several hours before the procedure.

Recovery is short and normal activities are possible within a few hours. Slight vaginal bleeding may persist for a day or two, but should not be heavier than a period. Contact your physician if you develop a fever, severe abdominal pain or heavy bleeding.