Now accepting Telehealth appointments. Schedule a virtual visit.

Hysteroscopy Specialist

Capital Women's Care

Obstetrics & Gynecology located in Montgomery, Bethesda, MD

When women have symptoms of irregular bleeding or pelvic pain this usually warrants additional workup. One of the tests that your gynecologist may recommend is called a hysteroscopy. This is a simple procedure where a tiny camera is used to look inside your uterus. At Capital Women’s Care Bethesda our team of providers which include Dr. John Gschwend and Dr. Deena Kleinerman are experts in hysteroscopy. They have been providing hysteroscopic surgery for the treatment of irregular bleeding, fibroids, and polyps for women in Bethesda, Maryland and Washington, DC for decades. The newest members of our team Dr. Rachael Cleberg and Dr. Kirsten Beeson are now performing in office hysteroscopy procedures. This cutting edge technology now allows for most patients and conditions to be treated in the office without the use of general anesthesia. Call our office to see if a hysteroscopy may be right for you and to see if your condition could be treated with our state of the art in office hysteroscopy services. You can use our convenient online scheduling options or feel free to click on our appointment request to schedule your consultation today.

Hysteroscopy Q & A

What is a hysteroscopy?

During a hysteroscopy, your gynecologist uses a viewing scope to examine the inside of your uterus and cervical canal. During the hysteroscopy, your doctor can look for problems or issues. If found, minor surgical procedures can treat the issue.

The team at Capital Women’s Care - Bethesda may use a hysteroscopy to help diagnose and treat:

  • Abnormal bleeding
  • Polyps
  • Uterine tumors
  • Scarring
  • Retained placenta

Your gynecologist may also use a hysteroscopy to assist during surgical sterilization or an endometrial biopsy.


Who needs a hysteroscopy?

Your gynecologist may suggest a hysteroscopy if you have heavy periods, your periods last longer than they used to, or you experience breakthrough bleeding between your periods.

Other times your doctor may opt for a hysteroscopy include when you have:

  • An abnormal Pap smear
  • Post-menopausal bleeding
  • Uterine fibroids, polyps, or scarring
  • Multiple miscarriages or problems getting pregnant
  • An IUD that’s come out of place


What happens during a hysteroscopy?

Depending on the specifics of your case, your gynecologist may perform your hysteroscopy in the office or at the hospital, using a sedative medication or general anesthesia during the procedure.

Once you’re ready for the hysteroscopy, your doctor dilates your cervix with either a topical medication or an instrument. After inserting a speculum, a tool that holds the vagina open, your gynecologist inserts the hysteroscope through your cervical opening and into your uterus.

Gas or saline solution is then pushed through the hysteroscope to expand your uterus, allowing a clear view of its interior. Your doctor may proceed with any of these actions:

  • Noting any abnormalities, for further consideration
  • Removing any fibroids or polyps
  • Taking a small sample of cells, an endometrial biopsy, for further testing


What should you expect after a hysteroscopy?

Hysteroscopies are done as outpatient procedures, and once they’re over, you can often go home shortly after. Be sure to have a friend or family member with you to drive.

For the next few days, you may experience slight cramping or bleeding. You may also feel gassy from the expansion of your uterus.

Avoid sexual intercourse for at least two weeks while your uterus heals.

If your discomfort is unbearable, contact the board-certified team at Capital Women’s Care - Bethesda. Call or go online to book your appointment today.