Also known as scraping, is a complementary test used in gynaecology, both for diagnosis and treatment. The lesions in the uterine cavity can be seen during the hysteroscopy of all the walls of the uterus and also the cervix.

Hysteroscopy and curettage can be performed to:
• Diagnose conditions using biopsies
• Remove of foetal tissue or placenta
• Implant an intrauterine device (IUD)
• Perform an abortion
• Investigate infertility

• Diagnose

• Cause of Bleeding - between periods, heavy menstrual or after intercourse
• Uterine fibrosis.
• Endometrial polyps
• Uterine or cervical cancer
• Thinning of the uterus (endometrial hyperplasia)

The vaginal canal is held open by a speculum. The cervical canal is dilated using a metal pin and then a hysteroscope is inserted through the canal into the uterine cavity. The surgeon can see the uterine cavity on a monitor and, if necessary, perform guided biopsies. Finally, the inner layer of the uterus is scraped, the tissue removed and sent for histological tests.

The doctor will indicate requirements, specific to each patient.

Although not very common, complications are possible, such as:
• Reactions to drugs
• Respiratory problems
• Haemorrhage
• Infection
• Damage to uterine lining (endometrium)
• Embolism
• Uterus perforation
• Cervical laceration

As vaginal bleeding, abdominal cramps and back pain may be experienced for a few days after the procedure, the patient may take painkillers and should also avoid sexual intercourse.

Normal activities can be resumed once the patient feels well enough and in accordance with the obstetrician’s recommendations.