Your Fertility Workup: Hysteroscopy

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A hysteroscopy is a procedure that allows your doctor to look inside your uterus with a camera. The hysteroscope will show images of your uterus and the openings of your fallopian tubes on a screen so your doctor can have a clear view of anything that might be preventing a pregnancy.

A hysteroscope is a thin lighted tube that is inserted into the vagina. It has a camera to see any abnormalities, and it can be used along with small instruments to remove any problems the doctor sees.

What the Test Involves

Before the procedure, you may be Hysteroscopy#hysteroscopy">given medicine to help you relax. Sometimes, local or general anesthesia is used to help block the pain. If general anesthesia is used, you will not be awake during the exam.

A small tool, or speculum, is inserted into the vagina to open the area. The hysteroscope is then inserted into your uterus, and a saline solution will be inserted to help expand your uterus, making it easier to see with the camera. The hysteroscope will gently move around to capture images of your uterus and the openings of your fallopian tubes.

Tips & Hints

Some women have minor cramping and spotting after the procedure. Your doctor may recommend you take pain reliever afterward to alleviate any discomfort. If no over-the-counter medicine is suggested to you and you’re concerned about discomfort, ask about it at least a day before so you have time to pick up the medicine.

Additionally, if you had general anesthesia, you will need to wait until it has worn off before going home. If this is the case, make arrangements for someone to drive you home afterward.

Hysteroscopy is one of a series of tests involved in the infertility workup evaluating a patient for treatment.