What Is the See-and-Treat Hysteroscopy Approach?
The see-and-treat hysteroscopy approach is the primary method at Hysteroscopy Center of New York. An expert gynecologist performs the in-office procedure to identify your uterine condition. If your condition can be addressed at that time, your doctor does it in a single procedure.
A see-and-treat approach often means no second procedure and no repeat anesthesia. Recent research supports the efficacy of this model. Studies show that a same-visit operative hysteroscopy reduces the need for repeat procedures by 40 percent.
If you’ve been told that you need two separate procedures to treat your condition, get a second opinion at Hysteroscopy Center of New York. This team of experts performs a same-day see-and-treat hysteroscopy in their offices in Midtown Manhattan, Columbus Circle and Queens. Founded by Dr. Felix Cohen, the Center provides advanced solutions to a broad range of women’s health issues.
When Do I Need a Same-Day Operative Hysteroscopy?
Your gynecologist may recommend a same-day operative hysteroscopy when it makes sense and he can address the issue without additional workup. An operative hysteroscopy is a versatile tool in uterine care, and the see-and-treat approach extends its versatility by enabling treatment during a diagnostic visit.
“When I look inside a uterine cavity, I can see what the problem is. If you’re in otherwise good medical condition, there’s no clinical reason to stop and schedule a second visit,” says Dr. Cohen. He makes the decision for an operative hysteroscopy based on a number of factors, such as:
- You’ve been counseled on the possibility of an operative hysteroscopy.
- The clinical finding is clearly visual.
- Findings are consistent with pre-op imaging.
- The pathological complexity is within the scope of an office-based hysteroscopy
- The findings don’t require a higher level of anesthesia
Am I a Good Candidate for Same-Day Operative Hysteroscopy?
A see-and-treat hysteroscopy is appropriate for many women, but it’s not always the right choice. Whether same-day operative hysteroscopy is appropriate for you depends on the procedural complexity and your overall health. Once your doctor evaluates you, you’re cleared for the procedure. This case-by-case evaluation separates this practice from a general gynecology practice. Same-day operative hysteroscopy is a good option if you have a condition like:
- Endometrial polypsSmall-to-moderate endometrial polyps
- FibroidsAccessible submucosal fibroids
- Intrauterine adhesions
- Uterine septum
- Abnormal uterine bleedingWith a suspected intrauterine cause
- Retained products of conception
If you have a more complex pathology, you may require a separate operative hysteroscopy under monitored anesthesia in a surgical setting. Medical conditions like an active pelvic infection or conditions that require deeper evaluation disqualify you from the sane-day procedure.
“Not every woman who comes in for a diagnostic hysteroscopy leaves having had treatment,” says Dr. Cohen. “The see-and-treat hysteroscopy model requires several contributing factors and a gynecologist who has the clinical judgment to act when it’s safe for you.”
How Does the See-and-Treat Hysteroscopy Improve My Outcome?
During a see-and-treat hysteroscopy, your doctor passes a thin, lighted scope through your cervix into your uterine cavity. If he detects any abnormalities, he can insert surgical instruments through the same scope to take care of them. Same-day operative hysteroscopy produces measurably better results.
A same-day operative hysteroscopy eliminates the interval between diagnosis and treatment. During that interval, the condition can still progress, so while you wait for follow-up care, your fertility timeline may be disrupted.
“When I can tell you what’s wrong, it doesn’t make sense to ask you to come back to fix it when I can fix it right there and then,” says Dr Cohen. “It’s better for you because of our environment, technology, equipment and expertise.”
What Are the Advantages of Visiting Hysteroscopy Center of New York?
Located in Midtown Manhattan and two additional NYC office locations, Hysteroscopy Center of New York is purposely built around office-based hysteroscopic care. Structural advantages that set this practice apart from general gynecology practices include:
- See-and-treat hysteroscopy regularly performed in the office
- No dilation required in most cases
- Advanced hysteroscopic technology
- Same-day operative hysteroscopy available in multiple locations
- Hospital affiliation for complex cases at Mount Sinai, NYU Langone and Lenox Hill
At the Center, Dr. Cohen performs a see-and-treat hysteroscopy typically in under 30 minutes. You’re awake during the procedure and can return to your daily activities the same day or the next morning. A strict patient-centered approach includes:
- See-and-treat hysteroscopy begins with direct uterine visualization.
- Findings are evaluated immediately.
- Treatment is performed via the same hysteroscope.
- You’re monitored before discharge.
“We’ve built a center where hysteroscopy is the entire focus,” says Dr Cohen. “Every instrument, every protocol and every member of the team focuses on doing this procedure extremely well.”
Why Do Referring Physicians Choose Dr. Cohen for Operative Hysteroscopy in NYC?
Dr. Cohen is a board-certified obstetrician-gynecologist with advanced training in operative hysteroscopy. With years of experience performing these procedures in an office-based setting, he has refined his technique, instrumentation and understanding of your needs.
Choose fellowship-trained, board-certified specialists with credentials who have the clinical focus to not only diagnose, but also treat your condition, often on the same visit. Schedule a see-and-treat hysteroscopy in NYC today at Hysteroscopy Center of New York, where same-day treatment may be available at your first appointment.