Role of Hysteroscopy in Infertility Assessment

Hysteroscopy can be performed using larger operative hysteroscopes (7-mm OD) under local anesthesia; in selected patients, however, with a paracervical block, the need for cervical dilatation requires a larger amount of anesthetic to be infiltrated superficially in the paracervical areas (base of the uterosacral ligaments) with 8 to 10 mL of local anesthetic. The procedures performed should be expedited and confined to minor surgical procedures.