Office hysteroscopy (OH) remains a valuable but underutilized tool in evaluation and treatment of abnormal uterine bleeding. Here at TMW we provide patients access to a “one stop shopping” experience that benefits them and the gynecologist as well. Our minimally invasive gynecologic surgeon will perform OHs each week during our normal patient day. Despite being the gold standard for evaluation of uterine pathology as it has been estimated that fewer than 1 in 5 gynecologists routinely perform OH.
Who benefits from diagnostic and procedural OH?
Abnormal uterine bleeding (AUB) accounts for roughly one-third of annual gynecological office visits for premenopausal women and 70% of annual visits for perimenopasal or menopausal women. Women with AUB who are ovulatory most often suffer from intrauterine pathology such as polyps, fibroids, and adenomyosis, which can easily be diagnosed and often treated with OH. In particular, patients with fibroids benefit from OH. It is important to know if the myoma is a Type 0, I, II or III before going to the operating room for removal and only OH will give the same view as the operative resectoscope. In postmenopausal women with recurrent bleeding, an endometrial lining less than 5 mm, and a normal endometrial biopsy, OH is valuable for detecting and treating focal lesions. Blind endometrial biopsies and curettages can miss over 30% of focal endometrial lesions, including endometrial cancer.