What is Hysteroscopy (EMB)?
Written by
Dr. Michelle Owens

What is a Hysteroscopy EMB?
Hysteroscopy EMB is a procedure which examines the lining of the uterus to identify and treat the causes of abnormal bleeding. This procedure is also used to diagnose the cause of repeated miscarriages, fertility issues, and investigate pelvic pain.

Abnormal bleeding can be described as having an extremely heavy flow, prolonged bleeding, bleeding in between monthly periods, spotting or bleeding after menopause.

This procedure is performed for women who have symptoms of endometrial cancer. This can be either diagnostic by which the doctor is going to take a look around inside the uterus or operative in which biopsy is done where the doctor will perform minor surgery in a hospital or in a clinic to remove polyps or fibroid tumors.

How is the Hysteroscopy EMB procedure done?

Hysteroscopy EMB cannot be performed for women who are pregnant or if the patient suspects to be pregnant. It is recommended to schedule the procedure on the first week after the patient's menstrual period.
The patient will be advised not to eat or drink for a specific amount of time before the procedure if she opted to have general anesthesia.

●    The doctor will place a tiny telescope camera inside the uterus to see the images of the tissue shown on a screen.

●    Then the uterus is filled with a liquid solution or carbon dioxide gas. This lets the doctor examine and biopsy anything abnormal, such as a polyp or cancer.

●    Endometrial tissue samples removed by biopsy will be sent to the lab to see if cancer is present.
While the hysteroscopy EMB procedure is pain-free, the patient may experience cramps while it is being performed.


How long is the recovery?
The patient should be able to go home shortly after the procedure although, a driver is needed for transportation.


You can go back to your normal activity unless your doctor gives other instructions based on your situation. You will also be advised to not have sex for 2 weeks after the procedure, and not douche when washing the vulva.


You may have slight vaginal bleeding on the first and second day after the procedure was done as well as cramping.Slight shoulder pain due to the gas used during the procedure can also be experienced and it is also normal to feel a little bit sick or dizzy.


When the procedure ends, your doctor will keep a close watch on you because endometrial cancer is possibly going to come back within the first few years after treatment. It's very important to attend all of your follow-up appointments so you can discuss any changes, other problems and any questions or concerns you have.

Although these symptoms can be caused by other things aside from cancer, it is very important to attend your annual follow-ups and screening to tell your doctor exactly how you're feeling.

Don't wait until your next appointment. Talk to us at Acadia Women's Health about signs you should watch for so we can help you discuss your care plan to have positive effects on your health.

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