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OFFICE HYSTEROSCOPY AND/OR BIOPSY

PURPOSE:

To examine the inside of a woman's uterus. Using a hysteroscope, a thin, telescope-like instrument that is inserted through the vagina and cervix, the inside of the uterus can be seen. It is a minor surgical procedure done with local anesthesia in the office. A small sample of tissue may be obtained during the procedure, to send to the lab to determine such things as abnormal growths, scar tissue, infections, or to remove retained tissue after a miscarriage or a retained IUD.

The most common reason for hysteroscopy is to solve the problem of irregular vaginal bleeding. You may take Motrin or Advil prior to your arrival or receive it in the office. The procedure may cause menstrual-like cramps. You will be asked to empty your bladder and lay on an exam table with your feet in stirrups. You may bring your IPOD.
 
Your cervix may need to be slightly dilated in order to get the 5 mm telescope (hysteroscope) into the uterus. CO2 or sterile water is then released through the scope to expand the uterus and a light will help visualize the cavity including the openings of fallopian tubes into the cavity.
 
RISKS AND COMPLICATIONS
 
Hysteroscopy is a very safe procedure with serious complications in less than 1/1000 of cases. Any intrauterine manipulation may give rise to infection due to "stirring" up a latent uterine (endometritis) or tubal infection (salpingitis). Trauma to the uterus especially if it is "tipped" (retroverted) may occasionally occur especially if the cervix is "tight" (stenotic). You may be asked to apply estrogen cream to your cervix to allow it to open up.
 
 Call the office if you experience any of the following:
  • Heavy bleeding more than a period.
  • Elevated temperature greater than 100.8
  • Severe abdominal pain
  • Heavy vaginal discharge




739 Irving Avenue - Suite 530 Syracuse, NY 13210 Tel: 315-478-1158 - Fax: 315-478-3014

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