The positive predictive value (PPV) of diagnostic hysteroscopy vs saline infusion sonography (SIS) for the detection of myomas and polyps in patients with abnormal uterine bleeding (AUB) has long been debated. Most published studies have concluded that diagnostic hysteroscopy and SIS are relatively equivalent diagnostic tools for the detection of intrautine myomas and polyps. Traditional AUB studies have been based on histologic diagnosis established through either dilatation and curettage (D&C) or blind endometrial biopsy but these diagnostic procedures do not detect all endometrial abnormalities.

Only hysteroscopy allows for direct visualization of the uterine cavity and abnormalities can be biopsied immediately. The WiCAM™ Wireless Digital Endoscope Camera & LED Light Source is a game changer for the Infertility/Reproductive Health market place. The (SIS) has long been the least expensive and most feasible technique to evaluate women of reproductive age presenting with AUB. The WiCAM™ Wireless Digital Endoscope Camera System is priced under $4000, this should allow Fertility Centers and Endocrinology Clinics to offer the “gold standard” of diagnostic methods “hysteroscopy” to their patients.

Hysteroscopy should be done to:

  • Find the cause of severe cramping or abnormal bleeding.
  • See whether a problem in the shape or size of the uterus or if scar tissue in the uterus is the cause of infertility.
  • Look at the uterine openings to the fallopian tubes.
  • Find the possible cause of repeated miscarriages.
  • Find and remove a misplaced IUD’s
  • Find and remove small fibroids or polyps.
  • Check for endometrial cancer.

Written by
Bob Weber
National Sales Manager
The Prometheus Group