Hysteroscopy is a gynecological exam that allows you to identify any changes that may exist inside the uterus.
In this examination, a tube called a hysteroscope approximately 10 millimeters in diameter is inserted through the vagina into the cervix, as shown in the image. This tube contains an optical fiber that transmits light, allowing visualization of the uterus cavity.
There are 2 types of hysteroscopy:
- Diagnostic hysteroscopy aims at the internal visualization of the uterus to diagnose possible changes or diseases. Learn more about diagnostic hysteroscopy; Surgical hysteroscopy aims to treat changes within the uterus. Thus, surgical hysteroscopy is indicated for the treatment of polyps, fibroids, thickening of the endometrium, malformations of the uterine cavity, among other problems. Understand how surgical hysteroscopy is performed.
Hysteroscopy should be performed in the first half of menstruation, when the woman is no longer menstruating, and cannot be done during pregnancy and in the presence of vaginal infection.
This examination is performed in hospitals or gynecology and obstetrics clinics, by the gynecologist, and can be done by SUS, some health plans or privately, costing, on average, 100 and 400 reais, depending on the place where it is done and if is for diagnosis or surgery.
Does hysteroscopy hurt?
Hysteroscopy can hurt and cause some discomfort in women, but this test is usually well tolerated.
What is it for
- Hysteroscopy can be indicated to diagnose or treat the following situations: Identify or remove endometrial uterine polyp; Identify and remove submucosal uterine fibroids; Endometrial thickening; Assessment of uterine bleeding; Assessment of causes of infertility; Investigate defects in the anatomy of the uterus; tubal ligation surgery; Investigate the existence of cancer in the uterus.
In addition, hysteroscopy is also indicated to indicate or control surgeries performed in the uterus.
Hysterosalpingography is an exam that is also widely used to identify changes in the uterus and fallopian tubes, however it uses a different technique, with the injection of contrast in the uterus and x-rays, which can demonstrate the anatomy of these organs. Learn more about how hysterosalpingography is done and what it is for.
