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A hysteroscopy can done be in a hospital or at your doctor’s office. You can be either awake or under general anesthesia during the procedure. If you’re awake, your doctor will give you medicine to help you relax. She’ll also use medication or tools called dilators to help open your cervix.

She’ll likely use a tool called a speculum to keep your vagina open. Next, she’ll gently insert the hysteroscope through the cervix into your uterus. Then she’ll push gas or a liquid-like saline through the hysteroscope into your uterus to expand it. This will give her a clear view of its lining and the opening of your fallopian tubes through the hysteroscope.

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