iInformation Box 4.14 Tips to obtain an optimal view at hysteroscopy and rectify a poor view

Microscopic examination of the endometrial epithelium at cellular level, containing blood vessels and glands, necessitates direct contact with the mucosal surface and high magnification (20 to 150) with a specially designed microcolpohysteroscope (properties of a telescope and a compound microscope). This technique does not require uterine distension and is called ‘contact’ hysteroscopy. It has limited use in clinical practice and consequently the

• Avoid menstruation. There is no evidence to support the view that diagnostic accuracy is influenced by cycle phase. It is sensible, however, to avoid procedures during the initial heavy days of menstruation, as views are likely to be compromised as a result of bleeding and sloughing menstrual endometrium.