Diagnostic Hysteroscopy ± Endometrial Biopsy

Indication

Abnormal uterine bleeding

Failed hormonal treatment

Failed endometrial aspiration

Abnormal ultrasound finding

The Procedure

Regional / general anaesthesia

Telescope passed through the vagina and cervix into the uterus

Cervical dilatation may be required

Uterine cavity inspected

Biopsy or curettage of the endometrial lining may be performed

Tissues removed will be sent for pathological examination or disposed of as appropriate unless otherwise specified

Other associated procedures which may be necessary, such as: Dilatation of the cervix and Polypectomy with or without hysteroscopic assistance

Photographic and / or video images may be recorded during the operation for education / research / documentation purpose. Please inform the staff if you have any objection.

Risk and Complication

Anaesthetic complications

Cervical tear

Perforation of the uterus (up to 1% chance) with or without trauma to the surrounding organs, may require repair

Pelvic infection

Small lesions can still be missed despite a normal hysteroscopic finding

Risk of Not Having the Procedure

Definitive diagnosis cannot be made and appropriate treatment cannot be given.

After the Procedure

This is only a diagnostic procedure and there is no therapeutic value. Second operation may be needed.

Alternative Treatment

Observation

Pelvic ultrasonography

Endometrial aspiration

Follow Up

No special follow up

Remarks

The information contained is very general. The list of complications is not exhaustive and other unforeseen complications may occasionally occur. In special patient groups, the actual risk may be different. For further information, please contact your doctor.

Diagnostic Hysteroscopy ± Endometrial Biopsy