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A hysteroscopy is a procedure that enables direct visualization and detailed examination of the inside of the uterus using a hysteroscope, a thin instrument with a camera connected to a video system. About the width of a pencil, the hysteroscope allows this procedure to be performed conveniently in our office, offering a cost-effective method for diagnosing uterine conditions. It is a valuable tool in reproductive health, helping to detect various abnormalities within the uterine cavity.
These abnormalities may include structural issues such as fibroids, which are benign tumors, polyps, which are small growths on the uterine lining, and adhesions, or scar tissue that can interfere with the normal structure of the uterus. Hysteroscopy can also identify abnormal conditions like endometrial hyperplasia, a thickening of the uterine lining that can impact menstrual cycles, fertility, or indicate a risk of cancer.
A hysteroscopy is frequently suggested for women who:
A hysteroscopy is an important procedure for several reasons, particularly because it helps both you and your provider gain insight into the state of your uterus. The benefits include:
Overall, hysteroscopy is a flexible and effective tool for both diagnosing and treating uterine conditions efficiently and with minimal discomfort.
Before the procedure, your doctor will review all the details with you and answer any questions or concerns you may have. In most cases, a speculum is not required because the hysteroscope we use is very small, although one may occasionally be used to get a clear view of the cervix. The hysteroscope, a thin, lighted tube, is carefully inserted through the cervix into the uterus.
The procedure is usually brief, taking only a few minutes to complete. Some women may feel sensations similar to menstrual cramps, but every effort is made to keep discomfort to a minimum. Options for comfort include nitrous oxide during the procedure or premedication with non-steroidal anti-inflammatory drugs. Most patients are able to resume their normal activities immediately afterward with little disruption.
The Center for Advanced Gynecology, founded in 2018, is committed to enhancing your health through comprehensive expertise across multiple areas, with a particular emphasis on gynecological care and advanced surgical techniques when surgical intervention is required.
Our team offers specialized knowledge in non-surgical management of chronic pelvic pain, painful intercourse, pudendal neuralgia, as well as vaginal, vulvar, and bladder discomfort.
From the very beginning, we have recognized the community’s need for more than just specialized services. Our practice has expanded to provide routine gynecologic care, cancer screenings, Pap tests, menopause management, evaluation and treatment of hormonal imbalances, hormone replacement therapy, breast health services, contraceptive counseling, urinary incontinence management, and care for pelvic organ prolapse, ensuring comprehensive support for women’s health.
Most patients in Richmond, VA experience only mild discomfort during an office hysteroscopy. Some may feel cramping similar to menstrual cramps. We take every step to maximize your comfort. If you are concerned about pain or have had previous experiences with higher levels of discomfort, there are anesthesia options available. Inhaled nitrous oxide is offered for pain management, though most patients do not require it. On a typical pain scale, most people rate the discomfort around 3 to 4 out of 10.
You will be positioned comfortably on an exam table with your feet in stirrups. The hysteroscope is gently inserted into the vagina, and saline fluid is used to expand the area, allowing the doctor to see the cervix and enter the uterus. The procedure generally takes only a few minutes to complete.
Recovery is usually quick, with most patients able to resume their regular activities immediately on the same day.
Although a hysteroscopy is not a definitive cancer test, it can help detect abnormal growths that may require additional evaluation, such as a biopsy, to rule out cancer.
We recommend avoiding scheduling your procedure during your menstrual period. The best time is generally the week immediately following your cycle. Additional specific instructions will be provided during your pre-procedure consultation.