© Copyright 2026 American Medical Association. All rights reserved.
A diagnostic hysteroscopy is a minimally invasive procedure that allows for direct visualization of the uterine cavity. This procedure is typically performed to investigate various uterine conditions and abnormalities. Prior to the insertion of the hysteroscope, a bimanual pelvic examination is conducted to assess the pelvic organs and prepare for the procedure. A single-tooth tenaculum is then applied to the anterior lip of the cervix to stabilize it during the procedure. To facilitate the insertion of the hysteroscope, the cervix is anesthetized and dilated using metal dilators. This dilation is crucial as it allows the hysteroscope to be inserted into the endocervical canal and advanced into the uterine cavity. During the procedure, the uterus is expanded using either saline or carbon dioxide, which provides a clear view of the uterine lining. The physician examines the uterine cavity for any abnormalities such as polyps, fibroids, or other pathological conditions. Upon completion of the examination, the hysteroscope and tenaculum are carefully removed, and any bleeding from the cervix is addressed to ensure patient safety and comfort.
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