The Role of Hysteroscopy in Adolescent Gynecologic Evaluation and Treatment

This chapter discusses the history of hysteroscopy, emerging technology, and potential applications in adolescent gynecology, including both diagnosis and for therapeutic procedures, with approaches that preserve the hymen. Hysteroscopy is safe and with rare complications, particularly when performed with a narrow diameter hysteroscope. Potential vaginal, cervical, and endometrial pathologies that are closely associated with endometriosis are also described, demonstrating the utility of hysteroscopy when assessing endometriosis. Hysteroscopy is also useful for evaluating and treating dysfunctional bleeding, dysmenorrhea, recurrent discharge, abnormal imaging of the genital tract, genital tract anomalies, adenomyosis, polyps, and myomas.