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Hysteroscopy Services

We provide services for women who are seeking a cause for abnormal bleeding or bleeding that occurs after a menopause.  Hysteroscopy is also helpful in identifying a problem in the uterus of women who have difficulties getting pregnant.
Hysteroscopy

Hysteroscopy is a procedure used to look inside the uterus (womb). This is done by inserting a thin telescope (hysteroscope) through the vagina and into the uterus. Salt water (saline) flows through the hysteroscope to open the uterine cavity so that it can be seen on the TV monitor. Hysteroscopy is used to look for causes of abnormal bleeding, infertility, frequent miscarriages or to look for a lost IUD. Hysteroscopy can also be used to remove abnormal tissue (i.e. polyps, fibroids, adhesions or a uterine septum).

Appointments
You need a referral from a health care professional for this service. Please click on the button on the right side of this page for a referral form.

Once your referral has been received, a nurse will review it, and if you are eligible, we will call you to provide you more information and an appointment.
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It is important that you are not pregnant when the doctor performs the hysteroscopy. If there is any chance you may be pregnant, please let us know so that the procedure can be rescheduled to a more appropriate time.

To ensure that you are not pregnant at the time of the hysteroscopy, the procedure is typically performed during the first half of the menstrual cycle, after your period ends but before ovulation. If your procedure is not booked in the first half of the menstrual cycle, please use birth control during the month of the hysteroscopy. It is also important that you are not bleeding at the time of the procedure as this can make it difficult to see the inside of the uterus.

The procedure itself usually takes about 10 minutes,

The procedure itself usually takes about 10 minutes,but plan to be in the clinic for about 45 minutes. Please
have a light breakfast or lunch before you arrive. Unless
allergic, please take the following medication prior to the
procedure:
  • Acetominophen (Tylenol) 1000 mg by mouth 1 hour prior to you appointment, and
  • Ibuprofen (Advil, Motrin or generic) 400mg by mouth 1 hour prior to your appointment.
Some women have a small cervical opening. This includes
women who are postmenopausal, have never had a vaginal
delivery or are suspected of having intra-uterine adhesions.
In this case, you will be asked to take:
  • Misoprostol 400 micrograms buccally 60 minutes prior to your appointment. 

If you are feeling anxious about the procedure, the nurse will review relaxation exercises with you and may offer you a mild sedative (Ativan). 


If you require additional pain medication you may be offered a narcotic, such as hydromorphone. For some procedures the doctor may inject local anesthetic (freezing) around the cervix to reduce discomfort. 


It is recommended that you have someone to drive you home after the procedure. If you wish to receive a sedative or narcotic, you must ensure that an adult takes you home, and you should not drive for 24 hours.

‎You may have mild to moderate period-like cramps and a small amount of vaginal bleeding or watery discharge. These cramps should be controlled with acetaminophen or ibuprofen. If bleeding persists for more than one week, or cramping is severe, please call the clinic. To reduce the chance of infection, please do not use tampons for 24 hours and do not have intercourse until all bleeding has stopped. 


Are there any risks? 

Although hysteroscopy is very routine and safe, there is a small risk of infection or uterine perforation with this procedure (less than 1% chance). If you experience severe or worsening abdominal pain, increase in bleeding, a foul smelling vaginal discharge or fever in the few days following your procedure please contact the clinic as soon as possible.

SOURCE: Hysteroscopy Services ( )
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