When is hysteroscopy used?

Hysteroscopy may be either diagnostic or operative.
Diagnostic hysteroscopy is used to diagnose some uterine abnormalities, and may also be used to confirm the results of other tests such as hysterosalpingography (HSG). Other instruments or techniques, such as dilation and curettage (D&C) and laparoscopy, are sometimes used in conjunction with the hysteroscopy. Diagnostic hysteroscopy can be used to diagnose certain conditions such as abnormal uterine bleeding, infertility, repeated miscarriages, adhesions, fibroid tumors, polyps, or to locate displaced intrauterine devices (IUDs).

An operative hysterocopy may be used, instead of open abdominal surgery, to both diagnose and treat certain conditions such as uterine adhesions, septums, or fibroids which can often be removed through the hysteroscope.

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