| Clinical practice in office hysteroscopy |
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Namkung Jeong1, Angela Cho2, Yu-Jin Koo3, Jun-Woo Ahn4, Hyuntae Park5, Eun Sil Lee6, Sang Wook Yi7, Won Duk Joo8, Sa Ra Lee9 |
1Department of Obstetrics and Gynecology, Eunpyeong St. Mary’s Hospital, The Catholic University of Korea, College of Medicine, Seoul, Korea
2Department of Obstetrics and Gynecology, Jeju National University Hospital, Jeju National University College of Medicine, Jeju, Korea
3Department of Obstetrics and Gynecology, Yeungnam University College of Medicine, Daegu, Korea
4Department of Obstetrics and Gynecology, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea
5Department of Obstetrics and Gynecology, Korea University College of Medicine, Seoul, Korea
6Department of Obstetrics and Gynecology, Soonchunhyang University Seoul Hospital, Soonchunhyang University School of Medicine, Seoul, Korea
7Department of Obstetrics and Gynecology, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea
8Department of Obstetrics and Gynecology, Choisang Clinic for Women, Seoul, Korea
9Department of Obstetrics and Gynecology, Department of Obstetrics and Gynecology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea |
Correspondence:
Sa Ra Lee,
Email: leesr@amc.seoul.kr
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Received: 24 August 2024 • Revised: 22 December 2024 • Accepted: 23 March 2025 |
| Abstract |
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Hysteroscopy is particularly valuable for the diagnosis of uterine cavity abnormalities through direct visualization. The development of office hysteroscopy has expanded the range of diagnostic and surgical procedures available. These detailed guidelines include patient counseling and the selection and setting of office hysteroscopy, including room, equipment, and medical staff. Analgesia or local anesthesia is often required in selective office hysteroscopy cases. Cervical dilation and preparation using medical or mechanical methods are required for most diagnostic hysteroscopic procedures. Methods for optimizing visualization and choosing suitable distension media are important for a successful office hysteroscopy. It is crucial to adhere to guidelines to prevent complications, such as vasovagal syncope, cervical trauma, uterine perforation, fluid overload, and embolism. Vaginoscopy can be a good alternative option for alleviating pain, especially in cases where the insertion of a vaginal speculum is expected to be challenging. |
| Key Words:
Hysteroscopy, Vaginoscopy, Cervical dilation, Uterine perforation, Distension media |
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