Diagnostic hysteroscopy is a procedure that lets your doctor examine the inside of your uterus. A tool called a hysteroscope is used. This device is a thin tube that’s illuminated. It is placed into the vagina to provide a closer look at potential problems. It can also be used to confirm test results or as part of other procedures, like a laparoscopy.

What Happens During a Hysteroscopy?

This procedure can sometimes be done with local anesthesia in the doctor’s office if it is intended for diagnosis only. Otherwise, general anesthesia is required. After the patient is ready, the hysteroscope is inserted using a solution of sugar and salt that distends the uterus. This allows the doctor to see the uterine cavity. After visual inspection, the doctor may insert different instruments depending on the reason for the procedure.

Most patients recover quickly after undergoing a hysteroscopy. They are usually able to return home the same day. There’s no wound and pain is minimal, so there’s no risk of infection or serious discomfort.

What Procedures Can Include a Hysteroscopy?

A gynecologist may use a hysteroscopy when diagnosing abnormal bleeding. It can also be used to locate polyps or fibroids. Other conditions may call for this procedure as well, including:

• Removal of scarring (intrauterine adhesions)
• Removal of cervical or endometrial polyps
• Removal of fibroids
• Endometrial lining biopsy
• Removal of intrauterine contraceptive device
• Endometrial ablation

If you are experiencing abnormal bleeding or have other concerns, make an appointment with your Women’s Health OB/GYN. They can determine the best diagnostics and treatment plan for you and your condition.

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Cervical ectropion, also known as cervical ectopy, occurs when the glandular cells (or soft cells) inside the cervical canal spread to the exterior of the cervix. This region normally has epithelial or hard cells. The cervix is where the vagina and uterus connect. When this condition appears, the area where the two types of cells converge is known as the transformation zone.

Is Cervical Ectropion Dangerous?

Cervical ectropion is also sometimes referred to as cervical erosion. This is not accurate because your cervix is not eroding. The condition is common among women who are of childbearing age. It does not affect fertility and does not cause cancer. It’s not classified as a disease.

Cervical Ectropion Symptoms

While cervical ectropion is no reason to panic, it can come with some unpleasant side effects. Most women report no symptoms. In fact, many are not aware they have the condition until their gynecologist examines them. Those who experience symptoms usually notice:

• Spotting outside of their normal period
• A light mucus discharge
• Pain during or after intercourse
• Bleeding during or after intercourse

In severe cases, symptoms can impact a woman’s ability to enjoy sexual intercourse.

Cervical Ectropion Diagnosis

A Pap test and routine pelvic exam allow your doctor to determine if you have cervical ectropion. It’s important to get a diagnosis if you experience symptoms. Some symptoms may indicate other problems like an infection, fibroids, endometriosis, or cancer. Contact your Women’s Health OB/GYN today to schedule an exam.

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A hysterectomy is a surgical procedure that involves removing the uterus. There are three primary types of hysterectomy that your doctor may recommend based on your medical needs. They include:

• Total Hysterectomy – This procedure includes removal of the uterus and cervix.
• Subtotal Hysterectomy – This procedure includes removal of the uterus only, leaving the cervix intact.
• Radical Hysterectomy – This procedure involves removal of the uterus, cervix, ovaries, and support structures. Lymph nodes may also be removed.

Why Do I Need a Hysterectomy?

The idea of having a hysterectomy may sound frightening. The U.S. Centers for Disease Control and Prevention estimate that around 600,000 women in America have hysterectomies each year. This procedure is one of the most common surgeries women undergo in the country. It is done for multiple reasons, including:

• Prolapsed uterus
• Cancer found in the cervix, ovaries, or womb
• Heavy periods that are often caused by fibroids
• Pelvic pain due to fibroids, adenomyosis, endometriosis, or pelvic inflammatory disease (PID)

Medically Necessary vs. Elective Hysterectomies

Out of those 600,000 women quoted by the CDC, an estimated 20% to 30% or more have a medically unnecessary hysterectomy. Women with endometrium issues like polyps, fibroids, and heavy bleeding may choose to have the surgery to relieve discomfort.

A prolapsed uterus happens when the pelvic organs descend due to weakened ligaments or muscles. This can lead to problems with intercourse, increased discharge, constipation, cosmetic issues, and discomfort. Women can choose to have a uterine suspension or a hysterectomy to correct the problem.

In cases involving cancer, a hysterectomy may be deemed medically necessary if the patient has progressed to an advanced stage. The procedure can be used to treat cervical, ovarian, uterine, and fallopian tube cancer.

Your OB/GYN can provide more insight into whether a hysterectomy is the best option for you. Contact your gynecologist at Women’s Health and Menopause Center today to make an appointment.

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No patient wants to hear their doctor tell them that they have a tumor. Fibroid tumors are a little different. According to Steve Goldstein, MD, an NYU Medical Center professor, “there is virtually no threat of malignancy.” While they may not be life-threatening, every woman should understand what they are and how to treat them.

What Are Fibroid Tumors?

Fibroid tumors, also called fibroids, are made of fibrous connective tissue and smooth muscle cells. The direct cause of this condition is not yet known. Medical professionals believe that the tumors develop due to aberrant muscle cells within the uterus. The cell multiplies quickly due to the effects of estrogen.

Fibroid Tumor Risk

An estimated 20% to 50% of women who are of child-bearing age have fibroids. Those who are nearing menopause are at the highest risk due to longer exposure to estrogen. African Americans and those who are obese have an increased risk. Small studies have also indicated a connection between women who have had two liveborn children and the appearance of fibroids compared to those who have not had children.

Fibroid Tumor Treatment

There are a number of ways that fibroid tumors can be treated. The best option for you will depend on your situation and medical status. Your gynecologist may recommend treatments such as:

• Hysterectomy
• Anti-hormonal agents
• Conservative surgical therapy
• Uterine artery embolization
• Anti-inflammatory pain medications
• Gonadotropin-releasing hormone agonists (medical menopause)

If you notice heavy and/or prolonged menstrual bleeding, frequent urination, painful intercourse, lower back pain, abnormal bleeding, or a firm mass near the pelvis, you may have a fibroid tumor. Make an appointment with your Women’s Health and Menopause Center gynecologist for diagnosis and to learn more about treatment.

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