Hysteroscopy is a minimally invasive procedure used to examine the inside of the uterus. A very fine optical instrument is introduced through the vagina and cervix into the uterine cavity, without the need for an abdominal incision.

A major advantage of hysteroscopy is that abnormalities within the uterus can be visualized directly, assessed precisely and – depending on the findings – often treated during the same procedure.

When Is Hysteroscopy Recommended?

Hysteroscopy may be recommended for:

• unexplained or abnormal bleeding

• very heavy or prolonged menstrual bleeding

• bleeding after menopause

• endometrial polyps

• fibroids protruding into the uterine cavity

• abnormalities of the endometrium

• suspected adhesions within the uterus

• abnormal or unclear ultrasound findings

• selected situations during fertility evaluation

Diagnostic Hysteroscopy

During diagnostic hysteroscopy, the uterine cavity is systematically examined. This allows abnormalities of the endometrium, polyps, fibroids, adhesions, and other findings to be directly identified.

If a suspicious area is detected, a targeted biopsy can be taken for histological examination. Direct visualization allows tissue to be sampled specifically from the area of concern.

Operative Hysteroscopy

Many abnormalities can not only be diagnosed but also treated hysteroscopically. These include:

• removal of endometrial polyps

• removal of selected fibroids within the uterine cavity

• treatment of intrauterine adhesions

• targeted removal of abnormal tissue

Because the procedure is performed through the body’s natural openings, no skin incisions are required and there are no visible scars.

Gentle and Targeted

Hysteroscopy allows abnormalities within the uterus to be treated precisely while minimizing the impact on surrounding tissue. Depending on the type and extent of the procedure, hysteroscopy may be diagnostic or operative and, in suitable cases, can be performed as an outpatient procedure.

The appropriate type of hysteroscopy and whether anesthesia is required are determined according to the findings and the planned procedure.

As an experienced surgeon in minimally invasive gynecological surgery, Dr. Arsenakis uses hysteroscopy both for targeted diagnosis and for the surgical treatment of abnormalities within the uterine cavity.

Hysteroscopy means identifying abnormalities directly and – whenever possible – treating them precisely and minimally invasively.