After extension of the cervix the cervical canal and the uterine cavity can be viewed via an optical system in order to identify abnormal tissue, to take samples of it or to remove it. Through the simultaneous use of special instruments (operative hysteroscopy), larger tissue components such as polyps or myomas are treated surgically, without removing the uterus entirely. In case of bothersome persistent bleeding an endometrial ablation is possible. Endometrial ablations are very modern and a painless procedure (NovaSure, "Gold Power") (www.novasure.com / de) is available.
