Hysteroscopy is a surgical approach your doctor may employ to examine the lining of your uterus. A thin viewing tool called a hysteroscope is utilised. The tip of the hysteroscope is put into the vagina and gently moved through the cervix into the uterus. The hysteroscope has a light and camera hooked to it so your doctor can see the uterine lining (endometrium) on a video screen.
A hysteroscopy may be performed to identify the cause of abnormal bleeding or bleeding that occurs after a woman has passed menopause. It also may be indicated to assess whether a problem in your uterus is preventing you from becoming pregnant (infertility). A hysteroscopy can be used to excise growths in the uterus, such as fibroids or uterine polyps, and is the gold standard test for excluding cancer of the endometrium.
A small sample of tissue (a biopsy) may be collected for pathology testing purposes. This sample is then looked at under a microscope for problems by a pathologist. In the setting of infertility, another surgery, called a laparoscopy, may also be carried out at the same time as a hysteroscopy in order to identify a causative factor.