My name is Natalia Kotsabin, I am the chief doctor at Damia Medical Center, but my main vocation is to help couples feel the joy of having a baby!

The Art of Hysteroscopy based on the basis of our clinic has been operating for more than 4 years, where we teach doctors from all over Ukraine this minimally invasive technique every month.

In this article I want to talk about one of the sections of hysteroscopy, namely – office or diagnostic hysteroscopy.

Office hysteroscopy is the “gold standard” for examining the vaginal mucosa, cervix, uterine cavity and cervical canal.

Office hysteroscopy is a completely different view of examination and treatment. The procedure allows a visual assessment of the uterine cavity and endometrium. This is the level of evidence A (highest) in the effectiveness of the diagnosis of uterine cavity problems. Not only that, the procedure is performed without anesthesia and even the use of gynecological mirrors! This is extremely important for women who have not yet given birth. Or, just be afraid of the gynecologist!

Office hysteroscopy is the number one procedure at the stage of examination of all patients who cannot conceive.

In case of suspicion of endometrial pathology, such as polyps, hyperplasia, ingrown IUD – is a reliable method to confirm the diagnosis.

During office hysteroscopy, you can carefully examine the walls of the vagina, which is not always possible when examined “in the mirror” and conduct the same examination of the cervix as in colposcopy.

Diameter of the tool – from 2,9 mm!

The procedure is performed from 7 to 11 days of the menstrual cycle or as prescribed by a doctor.

Office hysteroscopy, despite its name, is performed in the operating room for proper compliance with the sterility and safety of the patient. On average, the procedure lasts from 5 to 15 minutes, after which the patient does not need to be in the clinic.

In many countries, namely Italy, France, England and clinics around the world, office hysteroscopy is performed in conjunction with conventional colposcopy. The woman comes on a certain day of the cycle (because this is the only thing that matters for the procedure) and can immediately undergo an examination of the uterine cavity.

So, office hysteroscopy:

  • does not require the use of gynecological mirrors
  • does not injure the cervix
  • does not require anesthesia
  • does not provoke complications.

What gives the patient:

  • Detect uterine cavity abnormalities,
  • Detect micropolyps,
  • Detect hyperplasia or other pathology of the endometrium and take a targeted biopsy (which, in addition to infertility, is important to rule out malignant degeneration in the endometrium),
  • Detect chronic endometritis (by the way, this method of diagnosis is more effective than immunohistochemistry),
  • Take a targeted biopsy of the endometrium or cervical mucosa
  • Remove small polyps and synechiae of the uterine cavity.
  • Determine the patency of the fallopian tubes using the bubble method.


My firm belief is the recommendation – office hysteroscopy procedure number 1 at the stage of examination of all patients who can not conceive.

If you have any questions, we will be happy to help!

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