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Hysteroscopy

In-office hysteroscopy and FemVue can help patients become parents

Sometimes, diagnosing infertility requires Andrew Levi MD to get a closer look at the issue. At our Connecticut fertility center, Dr. Levi can use in-office hysteroscopy or FemVue to diagnose certain fertility challenges. Hysteroscopy helps him gain an in-depth view of a woman’s uterus (womb), while FemVue allows him to get a closer look at the fallopian tubes.

If a patient’s medical history and fertility evaluations indicate that one of these procedures might be helpful, Dr. Levi will thoroughly discuss it with the patient.

Why someone might be a good candidate for an in-office hysteroscopy

When a woman has certain symptoms or anatomical issues, Dr. Levi might recommend a hysteroscopy. This procedure can help properly assess specific fertility challenges.

Abnormal bleeding. If a woman is having abnormally long periods, a heavy menstrual flow or bleeding between periods, an examination can help Dr. Levi discover the cause.

Congenital abnormalities. An in-office evaluation can reveal conditions present from birth, such as a uterine septum, which consists of the uterus being divided by a band of tissue.

Uterine issues. When Dr. Levi needs to perform a more extensive examination of myomas (fibroids), synechiae (scar tissue) or polyps, he will likely suggest an in-office evaluation.

Recurrent miscarriage. Women who have had two or more consecutive miscarriages might require this type of evaluation, as it can uncover issues not found through ultrasound or bloodwork.

As for FemVue, this tool at our Connecticut fertility center can help Dr. Levi check for tubal infertility in the form of blocked fallopian tubes.

What can you expect during these in-office procedures?

When Dr. Levi determines that a woman is a good candidate for a hysteroscopy or a FemVue, he will schedule the procedure between day 5 and day 15 of the patient’s menstrual cycle.

During the office hysteroscopy, Dr. Levi will gently place an endoscopic camera through the cervix and into the uterus. He will then introduce sterile water through the cervix and into the uterine cavity to gain a better view of the uterine walls.

The FemVue procedure also takes place in our office. A FemVue involves the gentle placement of a small catheter through the cervix and into the uterus. Following the placement of the catheter, a combination of saline and air is instilled through the catheter into the uterine cavity and then into the fallopian tubes to assess whether the tubes are open.

After reviewing the results of the assessments, Dr. Levi will determine whether a surgical procedure is necessary to correct any issues in the uterus or fallopian tubes.

If Dr. Levi determines that one of these evaluations will give a woman the best chance of taking the next step towards motherhood, he will work with her to make a plan that suits her unique needs. Contact us to learn more about the fertility services at our Connecticut fertility center.