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Diagnostic Office Hysteroscopy (HSC) Instructions

The purpose of an Office Diagnostic Hysteroscopy (HSC) is to make sure that the uterine cavity is of normal size and shape.

It is also used to identify any abnormal tissue in the uterine cavity, such as uterine fibroids, endometrial polyps, scar tissue, or retained pregnancy tissue, the presence of which may be suggested by history or previous tests such as a hysterosalpingogram (x-ray of the uterus and tubes). This procedure is done in the office here at IVF New England, and is done by one of the physicians. The doctor will insert a thin telescope-like instrument (the hysteroscope) into the uterus through the vagina and cervix. A salt water solution is instilled into the uterus while the procedure is being performed. A special video camera is attached to the hysteroscope so that the uterine cavity is seen on a video screen. No anesthesia is needed.

The procedure poses little risk or discomfort for most women. As with any procedure involving uterine manipulation, there is a very small risk of uterine perforation, excessive bleeding, or infection that could involve the Fallopian tubes.

This exam is generally scheduled on approximately cycle day 5-12 of a 28 day cycle: after your period stops, but before your anticipated ovulation.

We recommend that you have a serum (blood) pregnancy test either at the start of your menstrual cycle or within 48 hours prior to the procedure to confirm that you are not pregnant.

Approximately an hour before the exam we suggest that you take Ibuprofen 600 mg (Motrin/Advil) or a similar medication to minimize some mild to moderate cramping that you may experience during the procedure.

To schedule, call: 781-674-1587