WHAT IS A HYSTEROSCOPY?

Dr. Claude Allouche, Gynecologist-ObstetricianHysteroscopie
Ahuza Clinic, Raanana, Israel, 058 726 02 64

A hysteroscopy is a procedure that allows direct visualization of the inside of the uterine cavity.
It is performed through natural pathways, using a tube equipped with an optical system that is introduced through the cervical canal. A liquid (saline solution) is injected into the uterine cavity to allow for visualization.

There are two types of hysteroscopy:

  • Diagnostic hysteroscopy:

    • Thanks to modern hysteroscopes, which have a diameter of about 3 mm, this procedure is usually done during a consultation without the need for anesthesia. It helps clarify the diagnosis and determine treatment options.
    • Patients are allowed to leave immediately after the procedure, which only lasts a few minutes.

  • Operative hysteroscopy:

    • It can treat certain uterine cavity abnormalities confirmed during the examination (fibroids, polyps, endometrial anomalies, uterine septa, adhesions...).
    • This is done using instruments and/or an electric scalpel, still through natural pathways.
    • It is typically performed in an operating room with general or regional anesthesia.
    • Most of the time, it is a day-hospitalization, and the patient is discharged the same day a few hours after the procedure, once the anesthesia effects have worn off.

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