How to perform vaginoscopy for uterine access

October 10, 2019

James K. Robinson III, MD, MS, Nicholas D. Hazen, MD

Hysteroscopic lysis of intrauterine adhesions (IUAs) is the primary initial treatment in patients with Asherman’s syndrome who have symptoms. These six steps can help improve outcomes with the procedure.

For more information: What today’s ob/gyn needs to know about Asherman’s syndrome

Step 1

Clean cervix with betadine on well-lubricated Fox Tip Swab.

Step 2

Place scope over finger into posterior fornix.

Step 3

Ensure constant flow of saline.

Step 4

Slowly back up scope until external cervical os is visualized.

Step 5

Once in cervix, maintain angle so that cervical trauma is minimized. If using a 30-degree scope looking up, keep the cervical canal at the very bottom of the screen.

Step 6

Practice in the OR