This page provides basic knowledge about the medical procedure known as a
hysteroscopy.
This procedure is usually done for the same reasons as a DD&C. The endometrium is directly
visualized. An optic lens instrument attached to a television camera is introduced in the
cavity of the uterus and the endometrium visualised on a TV monitor.
As explained
elsewhere
the endometrium ( the internal lining of the womb) is the site where menstruation takes place.
The changes occurring in this layer caused by the hormones estrogen and progesterone determine
when the menstruation is going to start , how heavy it will be and when it it going to stop.
Analysis ( microscopic examination) of this layer will give important clues about the
the hormonal status.
A clear image of the endometrium is seen on the monitor. Biopsies ( small pieces of tissue obtained
by special instruments called biopsy forceps. A curettage of abnormal part (scrape) can also
be done . (see DD&C.
Ovulation
It is is also indicated in infertility to determine if the female partner ovulates and to
judge if the endometrium is properly prepared to embed the embryo. Refer to
Early Pregnacy and Implantation .