A hysteroscopy gets its name from the thin telescope-like viewing device, called a hysteroscope, which is used during the procedure to let the doctor see inside your uterus. Usually performed by your reproductive endocrinologist (RE), a diagnostic hysteroscopy is done in office, without anesthesia. The procedure takes about 10 minutes but could take longer if the doctor finds something that can be corrected at the same time. (An operative hysteroscopy is done if there’s evidence of fibroids or polyps that need to be removed. This is an out-patient procedure in a hospital or surgery center.)
A hysteroscopy is used to see if your fertility problems are due to scar tissue or to problems with the shape or size of the uterus due to fibroids or polyps. It may also determine the cause of repeated miscarriages.
During the test, the doctor is able to not only find, but to treat, several other problems. For example, s/he can remove any small fibroids or polyps s/he finds during the procedure. The doctor may also be able to stop abnormal bleeding or remove a blockage in the fallopian tubes. If there are problem areas in the endometrial lining of the uterus, the doctor can remove them.