Hysteroscopy is generally a low risk technique that uses the endocervical canal, the natural passageway of the body, to gain entry into the uterine cavity. Refinement of optical and fiberoptic light instrumentation and of operative accessories allow high resolution and excellent visual documentation by hysteroscopy.
Diagnostic hysteroscopy is an intrauterine examination without the expectation of a therapeutic intervention. Accurate knowledge of the position of the uterus is critical to facilitate the examination. The best time to perform a diagnostic hysteroscopy is during the proliferative phase of the menstrual cycle. The patient is placed in lithotomy position and perineum and vagina prepared with povidone iodine. Sims retractor retracts the posterior vaginal wall and the cervix is visualized.