This examination can also be a surgery when performed to remove a lesion or correct a condition. It is called diagnostic when only an analysis of the uterine cavity is conducted, without any actual intervention. It is a very important examination and the most valuable in analyzing what we call intra-cavitary lesions. It is referred to as the "gold standard" for the evaluation of the endometrium and uterine cavity.

Adenomyosis:

Note the darkened spots at the bottom of the uterus. These are typical invasions of adenomyosis.

Polyp:

The polyp is a projection of the membrane lining the uterus (the endometrium). It can cause bleeding or interfere with embryo implantation. They should be removed if identified in any previous imaging exam or during the hysteroscopy procedure.

This is the portion of the uterus that connects the cavity to the uterine tube. Note that it is a narrow opening through which sperm must pass to meet the egg and fertilize it. It is not an alteration but an image showing the normal structure.

Endometritis:

The photos show a fairly rare condition, acute endometritis. When we have chronic endometritis, the lesions are not as evident and are difficult to diagnose by hysteroscopy, recommending endometrial biopsy. In the case of acute endometritis, antibiotics should be administered.

Fibroid:

In the image, we see a submucosal fibroid and next to it, the resection loop used for the surgical removal of the lesion. Submucosal fibroids can cause bleeding, miscarriages, and even infertility.

Uterine Fundus:

Here is another image showing a normal uterine cavity, with the uterine fundus in the center and the two tubal ostia on the sides.