What is a hysteroscopy?

Hysteroscopy is a procedure that allows your doctor to look inside your uterus in order to diagnose and treat causes of abnormal bleeding. Hysteroscopy is done using a hysteroscope, a thin, lighted tube that is inserted into the vagina to examine the cervix and inside of the uterus.

Why Would I Need the Procedure?

One of the most common uses for hysteroscopy is to find the cause of abnormal uterine bleeding. Abnormal bleeding can mean that a woman’s menstrual periods are heavier or longer than usual or occur less often or more often than normal or bleeding after menopause.   Bleeding between menstrual periods also is abnormal

Our office hysteroscopy may be used for

  • Removal of a small tissue sample (biopsy)

  • Abnormal Pap test results

  • Abnormal uterine bleeding: Hysteroscopy can help identify the cause of heavy or lengthy menstrual flow, as well as bleeding between periods or after menopause

  • Bleeding after menopause

  • Diagnose the cause of infertility or repeated miscarriages

  • Septums: Hysteroscopy can help determine whether you have a uterine septum, a malformation (defect) of the uterus that is present from birth.

  • Remove polyps

  • Examine and remove adhesions that may occur because of infection or from past surgery

  • Find and remove displaced IUDs (intrauterine devices)

  • Locate an intrauterine device

  • Prevent bleeding by destroying tissue

What is our procedure for hysteroscopy at NY Robotic Gynecology?

Initial Diagnostic Procedure:

At NY Robotic Gynecology, your time and resources entrusted to our service is valuable to us. That is why our diagnostic procedure is not only thorough and reliable, but also efficient and cost-effective. We generally begin with an ultrasound administered by our team that has been certified by the AIUM (American Institute of Ultrasound in Medicine) for excellence in performance. This provides the foundational diagnostic evaluation to judge whether further action is required. Our team quickly and accurately identifies outstanding abnormalities that need further evaluation.

Hysteroscopic Procedure:

This is when hysteroscopy and possible further surgical intervention comes into play. Minor and minimally invasive procedures such as the removal of small polyps, scar tissue, and uterine biopsies are carried out in-office, all with state-of-the-art technology to ensure the least bit of discomfort and inconvenience for any patient.

Before any minimally invasive procedure takes place, if necessary, a local sedative is prescribed, for the patient’s relaxation. Initially, the cervix is dilated for proper insertion of the hysteroscope through the vagina and cervix, into the uterus. The uterus is expanded for proper examination through the use of a liquid solution that serves to also clear away blood and mucus.

 

Next, illumination of the uterus allows for proper examination and by the doctor, who then decides whether an in-office surgery needs to be performed. The aforementioned minimally invasive procedures are all possible for administration in-office as well as bleeding management for cases of abnormal uterine bleeding. In the case of in-office surgery, small instruments are inserted into the uterus through the hysteroscope and the doctor performs the procedure. The total time it takes to perform a hysteroscopy can range from less than 5 minutes to 20 minutes, depending on whether additional procedures are required.

Why should you have your procedure performed at NY Robotic Gynecology?

 

Hysteroscopy, much like sonography, is a real-time visual modality implemented for diagnostic measures, uterine biopsies, and as a ways for expert maneuverability within the uterus. Therefore, the effectiveness of the method is very operator-reliant. Because it sheds light on how to properly treat and maintain abnormal conditions, it is imperative that the operator can not only properly identify common conditions, but also have the flexibility and experience necessary to identify the more difficult and uncommon conditions.

At NY Robotic Gynecology, we implement a state-of-the-art instrument known as EndoSee, which is a minimally invasive and portable system for diagnostic hysteroscopy. It is highly accurate while allowing for minimal anesthesia and discomfort throughout the entirety of the process. A process that may otherwise take an entire afternoon and leave you groggy from the anesthesia can be carried out within 5 to 20 minutes with our highly experienced team reassuring and guiding you throughout the entire process.

© 2018 Dr. Joon Song md. All Rights Reserved.
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