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Updated: Feb 24, 2026

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Office Operative Hysteroscopy: An Update.

Christina Alicia Salazar1, Keith B Isaacson1

  • 1Newton Wellesley Hospital, Harvard Medical School, Newton, Massachusetts.

Journal of Minimally Invasive Gynecology
|August 15, 2017
PubMed
Summary

Office hysteroscopy is a gold standard for evaluating uterine conditions like abnormal bleeding and infertility. This minimally invasive "see and treat" approach offers immediate recovery without anesthesia risks, supported by increased Medicare reimbursement.

Keywords:
Endometrial polypIntrauterine adhesionsOffice hysteroscopyOffice procedural complicationsOperative hysteroscopyPain managementReimbursementSubmucous myomaUterine septum

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Area of Science:

  • Gynecology
  • Minimally Invasive Surgery

Background:

  • Hysteroscopy is the gold standard for diagnosing intracavitary pathology.
  • Abnormal uterine bleeding and infertility are common indications for hysteroscopy.
  • Traditional hysteroscopy often requires operating room settings and anesthesia.

Purpose of the Study:

  • To provide an updated review of office-based hysteroscopy.
  • To cover indications, equipment, and procedures for hysteroscopy in an office setting.
  • To discuss the management of potential complications in office hysteroscopy.

Main Methods:

  • Review of current literature and guidelines on office hysteroscopy.
  • Discussion of the "see and treat" modality in an outpatient setting.
  • Analysis of benefits including immediate patient activity resumption and avoidance of anesthesia.

Main Results:

  • Office-based hysteroscopy is a safe and effective "see and treat" option.
  • It avoids operating room risks and patient inconvenience.
  • Increased reimbursement from Centers for Medicare and Medicaid Services in 2017 supports its adoption.

Conclusions:

  • Office hysteroscopy is a valuable tool for gynecological practice.
  • It offers a practical and efficient alternative to traditional hysteroscopy.
  • Further integration into clinical practice is supported by procedural advancements and reimbursement.