This procedure is generally done in association with the diagnostic laparoscopy and is ordinarily performed 2-3 days prior to the time your period will presumably begin. The purpose of this test is to obtain a direct view of the inside of the cavity of the uterus to look for various abnormalities of the endometrium (lining of the uterus) or abnormalities of the internal structure of the uterus. A variety of conditions may occur such as localized abnormalities to the cavity of the uterus which can cause abnormal bleeding, total absence of bleeding, recurrent miscarriages or infertility.
The procedure is done under light general anesthesia (asleep) usually at the same time as a diagnostic laparoscopy. After proper cleaning, a speculum is placed in the vagina. The cervix is held in place and then dilated (stretched open). The hysteroscope, which is basically a small telescope with an internal light is then inserted into the cavity of the uterus. The cavity is ballooned open with carbon dioxide or a thick liquid solution that is injected through the hysteroscope allowing for good visualization. If necessary, a biopsy can be taken or adhesions clipped through the scope. At this point the procedure is over. You will spend 30-60 minutes in the recovery room, about one hour in an arm-chair room and then discharged home. Someone must accompany you to drive you home. After you go home you may have brownish discharge, bloody discharge or even a mild period. This is to be expected and you need not worry. Do not have intercourse, douche, or use tampons for the next 3-4 days. If you should develop a fever of 100.4 degrees Fahrenheit or greater, please call the office. (See instructions in the section labeled "Diagnostic Laparoscopy")
(If a biopsy is taken or any other tissue is removed through the hysteroscope, you will receive a separate bill from Jewish Hospital for preparing the slides and another bill from Louisville Pathology Associates, PSC., the pathology group that interprets the slides.)