Clinical practice in office hysteroscopy
- Author:
Namkung JEONG
1
;
Angela CHO
;
Yu-Jin KOO
;
Jun-Woo AHN
;
Hyuntae PARK
;
Eun Sil LEE
;
Sang Wook YI
;
Won Duk JOO
;
Sang-Hoon LEE
;
Jae Kwan LEE
;
Sa Ra LEE
;
Author Information
- Publication Type:Review Article
- From:Obstetrics & Gynecology Science 2025;68(3):175-185
- CountryRepublic of Korea
- Language:English
- Abstract: 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.
