Hysteroscopy is a Surgical Fertility Treatment
Office hysteroscopy is a procedure which involves the fertility specialist directly looking at the inside of the uterus (uterine cavity) using a special instrument called a hysteroscope. The hysteroscope has a small telescopic lens which is placed through the cervix into the uterus. Saline is injected into the uterus to distend the uterine wall and allow visualization of the uterine cavity. The hysteroscope is attached to a camera and can be viewed on a video monitor.
The test is performed between cycle days 6-10, with Cycle Day 1 being the first day of the period. If full flow of menses does not occur, a blood pregnancy test will be obtained prior to the procedure. Patients undergoing this procedure will be encouraged to take 800 milligrams of ibuprofen or another over-the-counter pain medicine one hour before the procedure as cramping may be experienced when the hysteroscopy is performed. An antibiotic, doxycycline (100 mg), may also be prescribed to prevent a uterine infection. Doxycycline will be taken twice daily, starting the day before the HSG, and continue for a total of three days—the day before, the day of, and the day after the hysteroscopy.