Hysteroscopy: How It Is Done

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How It Is Done

A hysteroscopy is usually done by your gynecologist in the operating room of a hospital or surgery center. Most women go home the same day. In some cases, the hysteroscopy can be done in your doctor’s office.

You may be given medicine to help you relax, to numb the area, or to help you sleep (local, regional, or general anesthesia).

You will take off all of your clothes and wear a gown for the test. You will empty your bladder before the test. You will then lie on your back on an examination table with your feet raised and supported by footrests (stirrups).

Your doctor will put an instrument with smooth, curved blades (speculum) into your vagina. The speculum gently spreads apart the vaginal walls so your doctor can see inside the vagina and the cervix. See a picture of a pelvic examination with a speculum . Your vagina will be cleaned with a special soap.

The hysteroscope will be placed at the entrance to your vagina and gently moved through the cervix into your uterus. A gas or liquid will be put through the hysteroscope into your uterus to help your doctor see the lining clearly. Your doctor looks through the hysteroscope at a magnified view of the lining of your uterus. Your doctor can also see the uterine openings of the fallopian tubes. A video screen may be used during the test.

If a biopsy or other procedure is done, your doctor will use small tools through the hysteroscope. A hysteroscopy takes about 30 minutes, unless other procedures are being done.

Last updated:	February 22, 2008
Author:	Maria G. Essig, MS, ELS
Reviewed By:	Kathleen Romito, MD - Family Medicine, Liisa Honey, MD, FRCSC - Obstetrics and Gynecology
Editors:	Susan Van Houten, RN, BSN, MBA, Tracy Landauer