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In-Office Hysteroscopy to Diagnose Intrauterine Issues


Hysteroscopy is a gynecologic procedure that involves placing a small tube with a camera on one end and a light on the other into the uterus to tell if there are problems within the uterine cavity. This procedure has developed over the years to become one of the more common and useful gynecologic tools. The tube, called a hysteroscope is about as big around as one’s little finger, and is slipped into the uterus after slowly dilating the cervix. Once inside the uterus a gynecologist can diagnose a number of problems and can often treat them during the same procedure. Hysteroscopy can be done in the office or as an outpatient surgical procedure. Whether or not it is done in the office depends on such things as the size of the uterus, the amount of time your doctor feels he or she will need to do the procedure, the potential diagnosis, and whether or not electrical current will be used within the uterus to cut or cauterize tissue. Most cases are done in the operating room, but a number are safely performed within the office under local anesthesia.


Dr Gunter is kind, understanding, easy to communicate with, and has an excellent bedside manner. I have been a high school healthful living teacher and always have great conversations with him about women’s health issues that teens need to be aware of. He is always patient and will answer all questions I have about my own health and health questions in general. I recently had a myomectomy(fibroid tumor removal). He did everything he could possibly do to assure that I was as comfortable with the procedure as I could be, and performed the surgery as well as could be expected. Tumors were much larger than they showed on the ultrasound, and he took his time to make sure he completed the surgery with as little down time for me as possible. I recommend Dr Gunter to every female I talk to in the Raleigh area when I talk about female health. I also have to say that he always takes the time to talk with me about how life is and I definitely feel that he takes the time to make a personal connection. He is truly concerned with his patients physical health, as well as their entire well being!
Problems a gynecologist might try to diagnose with hysteroscopy include the cause of abnormal bleeding, fibroid tumors that arise within the uterine cavity, intrauterine polyps (small and non-cancerous growths that can cause bleeding), lost IUDs, uterine abnormalities (such as a septum, or a “heart shaped” uterus), and in some cases, cancer of the uterine cavity (endometrial cancer). During the procedure a gynecologist may diagnose a problem then proceed directly to treatment. She or he may pass tiny scissors, a small electrical wire loop used to cut tissue, or a grasping device to remove polyps. These instruments are indeed small. For example, the cutting part of the scissors may be no larger than the tip of an ink pen! While watching with the camera your doctor will use the different devices to remove or correct the abnormality. Afterwards, barring any unusual complications, you will be discharged to home.

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