Hysteroscopy is an endoscopic examination of the uterine cavity, which has a great in gynecology.


The examination uses a hysteroscope, which is a tube-shaped device with a light source and a video camera. It is inserted into the vagina and then through the cervix into the uterine cavity. The device enables the physician to see the inside of uterine cavity and the working canal of the hysteroscope allows using special tools. These tools are designed to take a sample of tissue for histological examination or perform an intervention such as the removal of adhesions, uterine polyps and some types of uterine fibroids protruding into the uterine cavity.


The procedure itself has no need for any special preparation. Due to the fact that hysteroscopy is not always a pleasant examination, it may be performed under general anesthesia. In such case, the health and ability of the patient to undergo the examination should be evaluated by a general practitioner or an internist.


The hysteroscopy allows the doctor to confirm many diseases of the womb including the adhesions within uterine cavity, uterine fibroids, uterine polyps, endometrial cancer, etc. The hysteroscopy is a valuable examination of gynecological bleeding when we assume that the blood has come from the uterine cavity.


The examined woman may feel a certain discomfort after the hysteroscopy, including pain in the lower abdomen and sometimes even gynecological bleeding.


The main advantage is the diagnostic quality and minimal invasiveness of this examination. When there are no complications, the woman can go home no later than the day after the procedure. In addition, the examination is valuable as it is both diagnostic and therapeutic method.


Jiri Stefanek, MD  Author of texts: Jiri Stefanek, MD
 Contact: jiri.stefanek@seznam.cz
 Sources: basic text sources