Hysteroscopy is a procedure that uses a thin lighted tube inserted into the vagina to examine the cervix and uterus. A special liquid widens the uterine cavity for proper examination by a camera attached to the hysteroscope. It allows doctors to diagnose and treat conditions causing abnormal bleeding by providing a clear view of the uterus. Common causes of abnormal bleeding seen during hysteroscopy include polyps and uterine fibroids.

1. What is Hysteroscopy?
 Hysteroscopy is a
procedure through which
a doctor can get a clear
view of uterus in order to
carry out a better
diagnosis and cure any
disease accordingly. It is
basically used to know
the causes of abnormal
bleeding.

2.  The procedure is performed by using a thin lighted
tube which is carefully inserted into the vagina for
examining the cervix and the uterus. It can be both
diagnostic as well as operative.

3. View Through a Hysteroscope
 A special liquid is
commonly used to widen
the uterine cavity for
proper examination. The
below given video is of a
normal uterus during
hysteroscopy. The view is
obtained by attaching a
light weight camera to
the hysteroscope.

4.  The time it takes can range from five minutes to
even an hour. This depends whether it is operative or
diagnostic. Some women can face a little discomfort
during the procedure but it is bearable. Still some
candidates prefer to be sedated or even have a
general anesthesia during hysteroscopy.
 The view of the uterine cavity varies at different time
during the cycle. At the specific time period when
there is much shedding of the lining the view is
usually unclear.

5. View of Uterine Cavity During Menses

6.  Abnormal uterine bleeding, including heavy,
irregular, prolonged and inter-menstrual bleeding
 Infertility
 Miscellaneous
Symptoms of Uterine Cavity

7. Common causes of abnormal uterine bleeding are:
 Polyps (both cervical and endometrial)
 Uterine fibroids
Abnormal Uterine Bleeding

8. Cervical Polyps:
 Polyp arising from the cervical canal.

9.  This cervical polyp has a long stalk.

10. Endometrial Polyps

11.  Small polyp arising from endometrium

12. Uterine Fibroids
 A uterine fibroid is a
leiomyoma (malignant
tumor made up of
smooth muscle tissue)
that arises from the
smooth muscle layer
known as myometrium
of the uterus.

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Medical Centre, Singapore 228510
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Email: clinic@gynae.com.sg
Website: www.gynae.com.sg
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