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Hysteroscopy should not be attempted if a woman is pregnant or has an active pelvic infection. It should also not be performed in women who have uterine or cervical cancer. In addition, obstruction (stenosis) of the cervical opening may make it difficult or impossible to perform hysteroscopy.
Prior to the procedure, the doctor will usually perform a thorough physical examination, including a pelvic examination.
Depending upon the purpose of the hysteroscopy and the individual patient's health status, hysteroscopy may be performed in the clinic or outpatient surgery department. In most procedures performed in a clinic, no special preparation is necessary. Less commonly, hysteroscopy may be performed in the operating room, especially when it is combined with surgical procedures. The doctor will advise the patient regarding preparation for surgery and the need for anesthesia before such procedures are performed.
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