New Era of Office Hysteroscopy.

One of the major problems of early office hysteroscopy was patient discomfort and pain due to the diameter of the scope. We overcame this handicap by using a small-diameter hysteroscope. We also developed a new way to access the cervix, the vaginoscopic approach, that permits hysteroscopy to be performed without speculum, tenaculum, or local anesthesia. We also perform operative procedures with this hysteroscope, including polypectomy and septum resection, always without anesthesia in an office setting.