Office Hysteroscopy Instructions - Crozer-Keystone Health System - PA

Office Hysteroscopy Instructions

The Procedure

Hysteroscopy is minor procedure that may be done in a doctor’s office or operating room. In some cases, little or no anesthesia is needed. The procedure poses little risk for women. Hysteroscopy may be used for diagnosis, treatment or both. Hysteroscopy can be used to diagnose some problems in the uterus. It also can be used to confirm the results of other tests, such as hysterosalpingogram (HSG).

The office hysteroscopy will be performed with local anesthesia. Lidocaine will be injected around the cervix to numb it. You will be awake during the procedure. You may feel some cramping. The opening of your cervix will be dilated with a special dilator. The hysteroscope then is inserted through the vagina and cervix and into the uterus. A liquid is released through the hysteroscope to expand the uterus so that the inside can be seen. A light shone through the device allows the doctor to view the inside of the uterus and the openings of the fallopian tubes into the uterine cavity.

To Schedule Your Procedure

Please call the nurse with the first day of your period. The office hysteroscopy will be scheduled after your period is over (days 7-11). This allows a better view of the inside of your uterus.

Please inform the nurse if you have an allergy to tetracycline, lidocaine, shellfish or iodine. Also, inform the nurse if you have mitral valve prolapse (you will be given a different antibiotic).

Please use barrier contraception or abstinence until your procedure is complete (no unprotected intercourse).


You will be given an antibiotic to take before your procedure. Start your Z-pack the day before the test (two pills) and continue with one pill a day for the next four days. Please finish all of the pills. This medication is given to prevent infection. In addition, you will be instructed to take something for pain, Tylenol or Motrin, one hour before your procedure. Please bring a pad along with you. You may have some spotting after the procedure. You may return to work after the procedure. **You will need to supply the nurses with a urine sample before your procedure. Please be prepared to do this.

Discharge Instructions

You can expect to have some spotting for a few days. Please call the nurse with a fever greater than 100.4, extreme cramping or very heavy bleeding (more than a period). Also, make sure to finish your last dose of tetracycline. You will get the results of your procedure immediately and form a plan at that time.

Instructions for Balloon Removal after Surgical Hysteroscopy

During your surgical procedure, the doctor has placed a balloon catheter inside of your uterus. The purpose of this catheter is to maintain the shape of your uterus after any resection of tissue and to prevent scar tissue from forming. You will need to make an appointment with the doctor to remove this catheter four-five days after your surgery. Please call the receptionist to schedule your appointment.

After the removal of the catheter, the doctor or nurse will provide you with two medications. The first medication is called estrace, which is given to build up the lining of the uterus. You will be instructed to take 2 mg _______ times a day for three weeks. At the end of the three weeks, you will start the second medication called provera, which will be taken for seven days, 10 mg a day to shed out the lining built up by the estrace. You will be instructed to call with the first day of this period to schedule the attached test in the office.

Please call the office at (610) 447-2727 with any questions regarding these instructions.