Gynecology Specialists of Philadelphia

Instructions for Office D&C Hysteroscopy

An office hysteroscopy involves the insertion of a thin, narrow hysteroscope into the vagina and uterine cavity while instilling a small amount of sterile fluid called saline. The procedure allows your doctor to visualize, evaluate, and biopsy the uterine cavity.

  • Medications will be prescribed in advance to make the procedure as tolerable as possible:
    • Toradol 10mg (1 pill taken 1 hour prior to procedure to minimize cramping)
    • Misoprostol 200mcg (1 suppository inserted vaginally the night before procedure to open the cervix and minimize pain)
    • OPTIONAL: Valium 5mg (1 pill taken 30 minutes prior to procedure for relaxation)
  • You will receive an injection of Lidocaine, local anesthesia, during the procedure to help further minimize any discomfort
  • If you are taking Valium, please arrange for someone to pick you up after the procedure. If not, your procedure will need to be rescheduled
  • We recommend that you do NOT eat heavily prior to your procedure
  • If you are experiencing heavy bleeding on the day of your procedure, you will need to be rescheduled. Such bleeding can impair visualization of the uterine cavity and therefore increases the risk of uterine injury
  • If the procedure is unable to be successfully performed in the office, your procedure may be rescheduled to be performed in the operating room on a different day

Please do not hesitate to contact the office with any questions or concerns!