What is Hysteroscopy?
Hysteroscopy is a procedure of inspecting the inside of the uterus with an optical instrument (hysteroscope) inserted through the cervix from below. This allows abnormalities in the uterine cavity to be seen and dealt with. Hysteroscopy performed before IVF is useful because it permits polyps and other problems within the uterus to be seen and corrected. It also enlarges and smoothens the canal leading from the neck of the uterus (cervix) to the uterine cavity proper. This ensures ease of replacement of the embryo and improves the chance of pregnancy. Hysteroscopy is usually done as a day surgery procedure. A tablet of Cytotec is placed in the vagina two hours before the procedure to cause the neck of the uterus to open. A short general anesthesia allows hysteroscopy to be performed painlessly. Saline or glycine is infused at 100mm Hg. to distend the uterine cavity in order to allow the inside of the uterus to be inspected.
