Preparing for Your In-Office Hysteroscopy

An in-office hysteroscopy allows your provider to look inside the uterus using a thin camera called a hysteroscope. This procedure can help diagnose or treat conditions such as abnormal bleeding, uterine polyps, fibroids, adhesions (scar tissue), retained tissue, or other abnormalities within the uterine cavity.

Before Your Appointment

Medication Instructions

• Take 600–800 mg of ibuprofen (Motrin/Advil) with food approximately 1 hour before your procedure, unless otherwise instructed by your provider or if you have been advised not to take NSAIDs.
• Continue your regular medications unless directed otherwise.
• If you have been prescribed a medication to soften the cervix, follow the instructions provided by your provider.

Eating and Drinking

You may eat and drink normally before your appointment unless instructed otherwise.

Scheduling Considerations

• If you are still having menstrual cycles, your procedure may be scheduled during a specific time in your cycle for optimal visualization.
• Please notify the office if there is any possibility you could be pregnant.

Day of Your Procedure

• Arrive 15–20 minutes early for check-in and any necessary paperwork.
• Wear comfortable clothing.
• We recommend using a sanitary pad after the procedure, as light spotting is common.
• While most patients are able to drive themselves home, you may choose to have someone accompany you for support.

What to Expect During the Procedure

• The procedure is performed in the office and typically takes 5–15 minutes, depending on the reason for the hysteroscopy.
• A small camera is gently inserted through the cervix to examine the uterine cavity.
• Before the hysteroscopy begins, your provider may administer a paracervical (cervical) block, which involves injecting a local anesthetic around the cervix to help minimize discomfort during the procedure.
• You may feel a brief pinch, pressure, or mild burning sensation when the numbing medication is administered.
• Once the anesthetic takes effect, most patients experience significantly less discomfort during the procedure.
• Some cramping similar to menstrual cramps may occur as the uterus is distended with fluid to allow visualization of the uterine cavity.
• If a biopsy, polyp removal, or other minor treatment is performed, you may experience temporary cramping or pressure.
• Our team will guide you through each step of the procedure and help ensure you remain as comfortable as possible throughout your visit.

After Your Procedure

It is normal to experience:

• Mild cramping
• Light spotting or bleeding
• Mild pelvic discomfort for 1–2 days

You may:

• Return to work and normal daily activities the same day
• Continue taking ibuprofen or acetaminophen as needed for discomfort

When to Call the Office

Please contact us immediately if you experience:

• Heavy bleeding (soaking more than one pad per hour)
• Severe pain not relieved with medication
• Fever of 100.4°F (38°C) or higher
• Foul-smelling vaginal discharge
• Dizziness, fainting, or any concerning symptoms

Questions?

Our team is committed to Delivering Distinction and ensuring you feel informed and comfortable throughout your procedure. If you have any questions before your appointment, please contact our office and we will be happy to assist you.

Opulence Health & Wellness