Uterus Exam with Biopsy

This is an exam of the inside lining of the uterus using a special tube with a light and camera on the end.




This is an exam of the inside lining of the uterus using a special tube with a light and camera on the end.



A hysteroscopy is an exam of the inside lining of the uterus using a thin, lighted tube with a camera on the end (hysteroscope).

  • The uterus is the organ that nourishes and protects a growing baby during pregnancy. The cervix is the opening of the uterus into the vagina.
  • The hysteroscope is inserted into the vagina and is advanced through the cervix into the uterus. Sterile water or gas is used to enlarge the uterus, so it can be seen well.

A hysteroscopy is most commonly done to determine the cause of abnormal vaginal bleeding. It can also be done to remove scar tissue from previous surgeries, find an intrauterine device (IUD) that has moved or determine the reason for multiple miscarriages. It can either be performed with a rigid hysteroscope or a flexible hysteroscope. You will need to lie on your back with your feet in stirrups, similar to your position when having a pap smear or other vaginal exam.

  • You may experience some discomfort when the hysteroscope is inserted. Filling the uterus can also be uncomfortable, but an anesthetic spray can help reduce the discomfort. Sometimes a sedative is needed to help with the discomfort.
  • You may experience a pinching sensation if a biopsy of abnormal tissue is taken.
  • There may be a small amount of bloody vaginal discharge and cramping after the procedure.

Prior to surgery, tell your healthcare provider about any medications you are taking (including over-the-counter medications and supplements). Ask about specific instructions you should follow before surgery. These may include:

  • Medications you should not take before the procedure, such as blood thinners
  • Regular medications you should continue to take on the day of your procedure
  • How many hours you should stop eating and drinking before procedure

Don't forget to make arrangements to have someone drive you home after the procedure.

What should I ask my healthcare provider before having a hysteroscopy?

  • What is the reason for the procedure? Are there any alternatives? What are the benefits and risks of each?
  • Will I have any type of sedation? What are the possible side effects?
  • Is there any special preparation for the surgery? (If so, get clear instructions on what you need to do.)
  • What are the possible complications to this procedure?
  • How will I feel after the procedure? Will I have to modify my activities?

After your hysteroscopy, your healthcare provider should provide:

  • A description of any problems found during the procedure
  • How any problems were addressed
  • What symptoms you should report before your next appointment

You should also understand all home care instructions (including medications and side effects) and follow-up plans.

Source UHC.com

Also known as:

Uterus Scope
Uterus Exam with Biopsy
Scope of Uterus
Hysteroscopy
Exam of Uterus


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