Procedure Hysteroscopy


Hysteroscopy is a procedure in which a long thin camera is inserted into the uterus through the vagina. The procedure can be diagnostic or operative. When performing a hysteroscopy procedure at The Center for Innovative GYN Care®, our goals are to have the smallest and least amount of incisions possible, minimize risk of complications, and help you recover faster with less pain.


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Hysteroscopy is procedure in which a long thin camera (scope) is inserted into the uterus (hyster). This procedure is performed to evaluate the uterine cavity. Hysteroscopy can be performed in the office or in the operating room. It can be diagnostic (just to look and identify the problem) or operative (to look, identify, and remove the problem).





An office hysteroscopy is conveniently performed in a physician’s office under local anesthesia. Numbing medication is injected into the cervix and a very thin camera is guided into the uterine cavity.

hysteroscopy images


This procedure can identify abnormalities involving the uterine cavity:

  • Intrauterine fibroids
  • Intrauterine adhesions
  • Endometrial polyps
  • Masses suspicious for malignancy

A small biopsy can be performed during the evaluation to rule out malignancy. If a fibroid or intrauterine adhesions are found, operative hysteroscopy under IV sedation in the operating room will be required.



Operative Hysteroscopy is indicated to remove intrauterine growth (fibroid or polyp), uterine septum, or adhesions. This procedure is performed in the operating room under IV sedation administered by an anesthesiologist. During the procedure, the cervical canal is dilated and a larger-caliber camera (scope) is guided into the uterine cavity. The uterine cavity is distended with fluid and a heated loop device is then used to cut away the fibroid (hysteroscopic myomectomy), polyp, septum or adhesions. In cases of large fibroids, uterine septum, or extensive adhesions, several procedures are required for complete removal and should be performed by an experienced surgeon to avoid complications. One of the risks of operative hysteroscopy is the formation of intrauterine adhesions. In some cases, an intrauterine balloon is placed at the completion of the procedure to decrease bleeding and prevent scarring. The balloon is removed in the office after seven days, and the patient is prescribed high-dose estrogen for several weeks to rebuild a healthy uterine lining and further prevent the formation of intrauterine adhesions.


Hysteroscopy, D&C is usually performed to evaluate the cause of abnormal uterine bleeding and most importantly to rule out malignancy in post-menopausal patients.

D&C is an abbreviation for Dilation and Curettage, which refers to the dilation of the cervix and scraping (curettage) of the uterine lining. This procedure is performed under anesthesia in the operating room.

Our Advantage


When performing any procedure at CIGC, our goals are to:

  • Have the smallest and least amount of incisions possible;
  • Have few complications;
  • Cause the least amount of pain; and
  • Give you the fastest possible recovery.

We have performed thousands of laparoscopic procedures for all types of GYN conditions, including fibroids, endometriosis, pelvic masses, pelvic pain, and GYN cancers, and we are renowned both nationally and internationally for our results.

Women choose CIGC because GYN surgery is the only medicine we practice. We have made a commitment to performing hysteroscopy and other gynecological procedures, and our specialists are board-certified and fellowship-trained in minimally invasive surgery. We do not use open or robotic procedures, so we can achieve our goals of treating your condition with as little pain as possible.

Our laparoscopic procedures are top-of-the-line. Our laparoscopic procedures provide full access to all of the anatomy, with the smallest number and size of incisions possible. Rather than having a long, expensive procedure and painful recovery, you will be back on your feet in no time.

We know that our customers are picky when choosing their surgeons, and we think extensive research is important. When you are exploring your hysteroscopy options, get to know our surgical specialists and see why they are the best in the industry.

We have offices in Rockville and Annapolis, Maryland, as well as in Reston, Virginia for your convenience. Give us a call at (888) 787-4379.