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Gynecology

Diagnostic Hysteroscopy

Gently explore the uterine cavity

Duration 5 to 15 min short examination
Anaesthesia Most often none local or light sedation possible
Care pathway Outpatient resumption of activities immediately after
Approach Vaginal endoscopy natural pathway, without speculum or incision

Diagnostic hysteroscopy is an examination that allows visualization of the inside of the uterus using a very fine camera, the hysteroscope, inserted through the natural passages.

Thanks to miniaturized equipment and the vaginoscopy technique (without a speculum), this examination is now minimally invasive, quick, and most often painless.

At the Centre Chirurgical de Champel in Geneva, diagnostic hysteroscopy is performed by experienced gynecologists using state-of-the-art miniaturized endoscopy equipment in a comfortable setting.

When to perform a diagnostic hysteroscopy?

  • Abnormal bleeding (heavy periods, bleeding between periods, or after menopause)
  • Thickening of the uterine lining detected by ultrasound
  • Work-up for infertility or recurrent miscarriages
  • Suspicion of a polyp, fibroid, or uterine malformation
  • Locating and removing an inaccessible IUD

The examination is indicated whenever direct exploration of the uterine cavity is necessary.

Before the examination

Preliminary assessment:

  1. 01 Ideally schedule the exam in the first half of the cycle, between periods
  2. 02 Rule out pregnancy or current infection
  3. 03 Patient information

Procedure of the examination

Duration: approximately 5 to 15 minutes. Anesthesia: most often none; local anesthesia may be used. Light sedation can be offered to anxious patients.

Main steps:

  1. 01 Positioning in the gynecological position
  2. 02 Gentle insertion of the hysteroscope vaginally, without a speculum (vaginoscopy)
  3. 03 Distension of the uterine cavity with physiological serum
  4. 04 Complete inspection of the cavity and tubal ostia
  5. 05 Tissue sample (biopsy) if an abnormality is found

The examination is performed without incision and allows for a rapid return to activities.

After the examination

Usual after-effects

  • Mild period-like cramps for 1 to 2 days
  • Light bleeding for 1 to 2 days
  • Resumption of activities immediately after

Recommendations

  • Avoid baths and intercourse for a few days if a biopsy was taken
  • Consult if fever, pain, or heavy bleeding occurs

Expected outcome: direct visualization of the uterine cavity allows for immediate diagnosis and guidance for management.

Follow-up

Results are explained during the consultation. Operative hysteroscopy may be proposed if necessary.

Abnormal bleeding to investigate?

Our gynecologists will see you for a consultation in Geneva and determine if diagnostic hysteroscopy is indicated.

Why choose the Centre Chirurgical de Champel?

Gynecologists experienced in hysteroscopy
Miniaturized equipment and vaginoscopy technique for greater comfort
Quick examination, mostly painless and without anesthesia

The Centre Chirurgical de Champel makes every effort to ensure a comfortable examination and a reliable diagnosis in a reassuring environment.

Related procedures

All procedures
Diagnostic Hysteroscopy 5 to 15 min · Most often none

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