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Gynecologic Health Gynecologic Screening

Hysteroscopy: What Women Need to Know


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Summary & Participants

For many doctors, hysteroscopy represents a great leap forward in gynecology. Others have been slower to embrace this new technology. What should patients know in order to navigate this uncertain terrain? Join us as we talk to four of the nation's leading experts to find out.

Medically Reviewed On: July 09, 2008

Webcast Transcript


LINDA BRADLEY, MD: I had a patient just last week who thought for many, many years it was normal to use 50 pads a day for a menstrual cycle. She actually went so far as to make plastic covers for her chairs at home. She had a seat that she sat in when she was on her menstrual cycles. Her whole life revolved around knowing when her period occurred. She wouldn't make a vacation or travel plans or be able to attend her kid's soccer game because she was always incessantly changing her pads.

So I think knowing what's normal, what's abnormal and getting an evaluation when a problem persists and knowing that there is absolutely something else that can be done to help in the evaluation for your problem.

KEITH ISAACSON, MD: Some patients were worried that if they get a second opinion and their physician doesn't offer hysteroscopy that they're going to have to pay for this out-of-pocket and be a very expensive procedure. That's not the case. This is a routine standard procedure that's accepted by all insurance companies, covered by all insurance companies as well as Medicare, Medicaid. So it's not an out-of-pocket expense for the patient.

GRACE JANIK, MD: I think it's important for the patient's to see getting a diagnosis for their abnormal uterine bleeding before they initiate treatment, rather than start the treatment process. This is where the second opinion fits in. So commonly you see people going on treatments that are not focused to their problem.

STEVE COHEN, MD: And you know, not only do they pay for the hysteroscopy but the insurance companies pay for second opinions. In fact, they encourage second opinions to make sure that the treatment, the diagnostic procedure and the treatment are the most effective and efficient for that patient. So we've changed over the last decade to becoming a very modern specialty that wants to do what's right for the patient. That's the main purpose. Do what's right for the patient. Do what's efficient and effective and cost effective for the therapy.

GRACE JANIK, MD: I think there is great benefits to the physician to learn this in addition to being able to service her patients well. It's much more efficient from a physician perspective to be in the office setting -- to not have to go to the hospital and have that extra expense incurred by the insurance companies, too. So there is benefit definitely to the patient, but to health care in general by having hysteroscopy done in an office setting. It's a huge waste of money to take someone to the OR, put them asleep to just quickly look.

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