Uteroscopy (hysteroscopy) and curettage (scraping)
Hysteroscopy is a mirror examination of the uterine cavity. It makes it possible to detect changes in the uterine wall and, if necessary, to treat them.
The cervix is made visible by inserting a speculum (as in a routine examination by a gynecologist). If necessary, the cervix is carefully widened so that the hysteroscope, a thin rod (about 5 mm) with a camera, can be inserted into the uterus.
There are two forms of hysteroscopy:
- Diagnostic hysteroscopy: it is performed with a narrower hysteroscope. This allows for minor surgeries such as sampling or removal of dislocated IUDs.
- Surgical hysteroscopy: It is performed with a hysteroscope with a larger diameter. This allows removal of polyps, fibroids, resection of a possible uterine septum or removal or sclerotherapy of the endometrium.
The most common reasons for hysteroscopy are:
- Clarification of bleeding disorders
- Clarification of changes in the uterus (tumors, polyps, malformations, fibroids)
- Removal of uterine mucosa (scraping) or growths under visual control
- Treatment of bleeding disorders by sclerotherapy or ablation of the uterine mucosa