The Hysteroscopy Encyclopedia

Indications
The principal advantage of hysteroscopy over other gynecologic diagnostic methods is that it permits observation of the entire uterine cavity. This increases the diagnostic accuracy of suspected intrauterine pathology up to 70%. ( Dunn, 1994).
 The indications for hysteroscopy have continued to grow in number as physicians have gained experience in interpreting hysteroscopic findings. The more common indications are evaluation of abnormal uterine bleeding, whether premenopausal or postmenopausal, evaluation of the uterine cavity in infertility patients, confirmation of abnormal hysterograms, directed  removal of intrauterine devices, diagnosis and treatment of mullerian fusion defects, diagnosis and treatment of intrauterine adhesions, diagnosis and treatment of submucous myoma, evaluation of the uterine cavity and cervical canal in women with repeated abortions, evaluation of possible uterine defects following surgical procedures such as caesarean section, hysterotomy or myomectomy, directed removal of intrauterine  or intracervical polyps and uterine ablation for menometrorrhagia. ( Dunn, 1994).

The indications previously mentioned demonstrate that with appropriate training, almost all uterine abnormalities can be or have been treated hysteroscopically. The value to the patient is decreased morbidity, decreased convalescence time and decreased expense affords this modality an increased role in routine gynecology and reproductive surgery. ( Dunn, 1994).
 Hysteroscopic intrauterine procedures require experience in the interpretation of the topography of the uterus and great skill in the manipulation of the instruments required These procedures should not be attempted until significant experience has been gained in diagnostic hysteroscopy and qualified assistants are available to assist the procedure. (Dunn, 1994).