This outpatient procedure is used to examine and in some cases treat abnormalities in the lining of the uterus. The procedure is performed with a lighted viewing instrument called a hysteroscope.


In preparation for the procedure, the patient is positioned and local, regional or general anesthesia may be administered. A speculum is inserted into the vagina to allow access to the cervix.

Inserting the Hysteroscope

The physician inserts the hysteroscope into the vagina and carefully guides it through the cervix. In some cases, the physician may need to grasp the cervix with specialized forceps. Dilation rods may be also need to be inserted into the opening of the cervix to create a working channel. Once the scope is inside the uterus, a gas or liquid is infused through a channel in the scope to expand the uterus and create room for the physician to see and work.

The Examination

The physician examines the walls of the uterus and the openings of the fallopian tubes for any abnormalities. Growths such as polyps or lesions on the lining of the uterus can be identified and may be treated. Surgical instruments can be inserted through a working channel in the hysteroscope as needed.

End of Procedure and Aftercare

When the procedure is finished, the gas or liquid is removed through the scope and the physician removes the instruments. After a short stay in the recovery room, the patient is allowed to go home. The physician will provide specific aftercare instructions.