How Hysteroscopy Can Reveal the Hidden Cause of Abnormal Bleeding
In this expert short, Dr. Amanda Chu walks through surgical footage from a patient who presented with heavy, irregular bleeding and significant cramping. Although prior imaging did not reveal any abnormalities, the patient’s ongoing symptoms and clinical history raised concern for an intrauterine cause, prompting hysteroscopic evaluation.
During hysteroscopy, a large endometrial polyp was identified within the uterine cavity. Polyps are a common yet frequently missed source of abnormal uterine bleeding and pelvic pain, particularly when imaging appears normal. They are often hormonally driven and are seen more commonly in patients with endometriosis, where estrogen and chronic inflammation play a key role. The remainder of the uterine cavity, including the fallopian tube openings, appeared normal.
The polyp was removed during the same minimally invasive procedure, allowing for both diagnosis and treatment in one setting. This case highlights the importance of directly evaluating the uterine cavity when symptoms persist and reinforces the need to consider causes of pain, bleeding, and infertility both inside and outside the uterus.
When symptoms persist, the next step matters.
At ESSE Care, we understand that normal imaging doesn’t always mean normal health. Many patients come to us with ongoing bleeding, pain, or fertility challenges that haven’t been fully explained. Hysteroscopy offers a direct, minimally invasive way to look inside the uterus and uncover issues like polyps or adhesions that standard scans might miss.
We approach every case with both precision and compassion. Whether you’re navigating unexplained symptoms or managing hormone-sensitive conditions like endometriosis, our team is here to help you find clarity and relief through expert evaluation and thoughtful, whole-person care.
