Office Hysteroscopy at Advanced Fertility Services Hysteroscopy is the direct examination of the uterine cavity with a telescope (the “hysteroscope”). Unlike ultrasound, where the uterus is studied from the outside, with the hysteroscope we look directly in the uterine cavity and record this in real time. We can then see if there is anything inside the uterus that can prevent embryo implantation or cause miscarriages, such as adhesions, small polyps, or fibroids. Many such findings can also be corrected during the procedure: polyps can be removed, adhesions can be incised, and so on.
In addition, it is possible to catheterize the Fallopian tubes, either to confirm that they are open or to attempt to open them if there is a blockage near the point where the Fallopian tube meets the uterus. Using a tiny diameter catheter (a very thin plastic tube that is specially designed to fit into the Fallopian tubes), it may be possible to remove a blockage in the Fallopian tubes, similar to the technique employed by cardiologists to open blocked blood vessels in the heart.