What is Hysteroscopy (EMB)?

‍A Hysteroscopy EMB, is a procedure done to examine the lining of the uterus to identify and treat causes of abnormal bleeding. It can either be considered a diagnostic procedure, during which time the doctor will look around inside the uterus or an operative procedure, where the doctor will perform minor surgery in a hospital or clinic.

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Abnormal bleeding can be:

●  Extremely heavy flow

●  Prolonged bleeding

●  Bleeding in between monthly periods

●  Spotting or bleeding after menopause

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During a Hysteroscopy EMB, your doctor may perform the following procedures:

● Remove polyps and fibroid growths found in the uterus.

● Removal of adhesions. Also known as Asherman’s Syndrome, uterine adhesions are bands of scar tissue that can form in the uterus and may lead to changes in menstrual flow as well as infertility.

● Endometrial ablation. It is one procedure in which the hysteroscope, along with other instruments, are used to destroy the uterine lining in order to treat some causes of heavy bleeding.

● Removal of a small tissue sample (biopsy)

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How is the Hysteroscopy EMB procedure done?

Hysteroscopy EMB's CANNOT be performed on women who are pregnant or if the patient suspects they are 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. While the hysteroscopy EMB procedure is pain-free, the patient may experience cramps while procedures are being performed.

During the Hysteroscopy EMB procedure:

● Your cervix will be dilated to allow a hysteroscope to be inserted. (A hysteroscope is a thin, lighted telescopic device that transmits an image of your uterus onto a screen.)

●  Afterwards the uterus is filled with a liquid solution or carbon dioxide gas. This lets the doctor examine and biopsy anything that appears to be abnormal.

●  Tissue samples removed by biopsy will be sent to the lab to see if cancer is present.
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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 is 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.

● 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.

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