North Carolina OB/GYN & Midwifery offers in-office and hospital-based hysteroscopy evaluations to diagnose issues within the uterus. This minimally invasive procedure uses a thin, lighted camera (hysteroscope) inserted into the uterus to directly view the uterine cavity. It’s one of the most effective tools in gynecology, often allowing for diagnosis and treatment in the same session.
Hysteroscopy at North Carolina OB/GYN—What Are the Benefits?
At North Carolina OB/GYN & Midwifery, we offer in-office hysteroscopy evaluations in Raleigh, Cary, and Holly Springs, that in addition to providing diagnostic information, can also treat more minor issues. As a proud partner of UNC Health, we can perform hysteroscopy procedures that would likely require more involved treatment at the hospital in Holly Springs, which is located on the medical complex as our offices. Key benefits of in-office hysteroscopy procedures include:
- No general anesthesia required
- Shorter procedure time
- Minimal recovery period
- Same day return to normal activities
- Real-time diagnosis and, in some cases, treatment
What Can Hysteroscopy Diagnose?
Common reasons a hysteroscopy evaluation may be recommended include:
- Abnormal uterine bleeding, such as heavy, irregular, or postmenopausal bleeding
- Suspected uterine fibroids or endometrial polyps
- Evaluation of recurrent miscarriage or infertility
- Suspected congenital uterine anomalies (e.g., uterine septum)
- Investigation of possible intrauterine adhesions (Asherman’s syndrome)
- Biopsy for suspected endometrial hyperplasia or endometrial cancer
In each case, the goal is accurate intrauterine pathology diagnosis through direct uterine cavity examination.
FAQs: Hysteroscopy at North Carolina OB/GYN & Midwifery
What happens during a hysteroscopy consultation?
A review of your general health and medications along with a physical exam will determine if your hysteroscopy procedure will be performed in our office or as an outpatient surgical procedure at the hospital. This decision will depend on:
- Your overall health history
- The anatomy of your uterus
- The treatment approach for your likely or suspected diagnosis
We will explain the proposed treatment plan in detail and provide comprehensive day-of-procedure and aftercare instructions. Our goal is to ensure that you feel informed, comfortable, and confident about your care every step of the way.
What happens during hysteroscopy?
A thin hysteroscope is gently passed through the vagina and cervix into the uterus. Sterile fluid is used to expand the cavity for better visualization. The doctor will examine the uterine lining, identify abnormalities, and may perform minor treatments or take a biopsy if needed. Most in-office hysteroscopies are well-tolerated without sedation.
What is the recovery and aftercare following hysteroscopy?
After an in-office hysteroscopy, you may experience mild cramping or light spotting for a day or two. Most patients return to work and normal activities the same day. You will be given personalized aftercare instructions and the doctor will discuss next steps based on the findings of your hysteroscopic evaluation.
Are there risks with hysteroscopy?
As with any procedure, hysteroscopy has some risks, though complications are rare. These may include:
- Infection
- Uterine perforation (extremely rare in office-based procedures)
- Bleeding
- Reactions to the fluid used during the exam
When is a hospital hysteroscopy needed?
A hospital procedure is typically needed for:
- Removal of Large Uterine Fibroids or Polyps
If growths are too large or deeply embedded, a surgical setting allows for more advanced instruments and general anesthesia.
- Extensive Intrauterine Adhesions (Asherman’s Syndrome)
Severe scar tissue may require more time, precision, and sometimes repeat procedures that are better managed in the OR.
- Resection of a Uterine Septum or Congenital Anomaly
Surgical correction of structural abnormalities often calls for anesthesia and specialized equipment.
- Heavy Bleeding Risk or Complex Anatomy
Patients with high bleeding risk, difficult cervical access, or unique uterine anatomy may benefit from the additional monitoring and support a hospital provides.
- Suspicion of Malignancy or Need for D&C
If endometrial cancer is suspected, or if a dilation and curettage (D&C) is needed along with the hysteroscopy, the hospital is the safer and more appropriate setting.
Contact North Carolina OB/GYN & Midwifery Today
If you’re experiencing abnormal bleeding, pelvic pain, or fertility concerns, please don’t delay in scheduling an appointment and prioritizing your health. Our team is here to guide you with personalized care through every step. Contact North Carolina OB/GYN & Midwifery in Raleigh, Cary, or Holly Springs to schedule a hysteroscopy consultation.