Hysteroscopy involves a telescopic examination of the uterine cavity to identify and treat intra uterine abnormalities. It can be diagnostic or operative.
Diagnostic hysteroscopy and curettage is a procedure to try and obtain both a visual and histologic assessment of the uterine cavity and endometrium.
Operative hysteroscopy is used to resect lesions, divide adhesions or ablate the uterine cavity when necessary.
Diagnostic hysteroscopy can identify the presence of endometrial polyps, fibroids, uterine septa or endometrial adhesions that may require treatment.
Uterine curettings will confirm histologic abnormalities including dysfunctional uterine bleeding, endometrial hyperplasia and endometrial carcinoma.
Diagnostic hysteroscopy and curettage can confirm a diagnosis and will enable appropriate treatment.
Operative hysteroscopy can be used to remove polyps, resect submucus fibroids and uterine septa. Hysteroscopy is used to divide endometrial adhesions (Ashermans syndrome), resect septa, fibroids or polyps as part of infertility treatment. It is also very useful in treating heavy menstrual bleeding with endometrial ablation therapy. Hysteroscopy is performed as a day case procedure and well tolerated by most patients.