Gynecology Specialists of Philadelphia

Instructions for Office Hysteroscopy and Essure

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. The procedure

Essure involves the placement of coil inserts into the fallopian tubes. A hysteroscope will be used for guidance during placement.

  • Medications will be prescribed in advance to make the procedure as tolerable as possible: Toradol 10mg, Valium 5mg, and Misoprostol vaginal suppository 200mcg. You will receive an injection of Lidocaine, local anesthesia, during the procedure to help further minimize any discomfort.
  • We recommend that you do NOT eat heavily prior to your procedure
  • Please arrange for someone to pick you up after the procedure. If not, your procedure will need to be rescheduled
  • 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!