If a uterine abnormality is detected during a hysterosalpingogram (HSG is an x-ray exam that is used to observe the fallopian tubes and uterus), a hysteroscopy may be recommended. A hysteroscopy is a procedure that is performed using a hysteroscope, which is a thin telescope that has a fiber-optic light at its end. The hysteroscope is inserted carefully into the uterus via the patient’s cervix so that your doctor can observe whether there are any uterine abnormalities or growths present. In some cases, photos and/or videos may be taken during the procedure for future review.
A hysteroscopy is typically performed as an outpatient procedure with moderate sedation. In order to get as clear of a view as possible, the procedure usually takes place during the beginning half of the patient’s menstrual cycle, when there is minimal endometrial build-up (the lining that is shed during menstruation). Patients are generally back to normal activity within a day or two.
If reproductive conditions such as endometriosis, adhesions, scarring, or other pelvic disease are suspected, a laparoscopy may be advised to help determine the most accurate diagnosis. In this diagnostic procedure, a laparoscope, which is a fiber-optic telescope, is inserted into the abdomen below the navel so that your doctor can observe the presence of any issues.
A laparoscopy can also be performed operatively to provide actual treatment for a condition. During operative laparoscopy procedures, laser technology is used to treat conditions such as endometriosis, adhesions, and other conditions. Because the incisions used in operative laparoscopy are so small, patients can go home same-day and generally experience a quick recovery.