Dr Abri de Bruin

Welcome! Please see this website as an educational reference for patients. My practice strives to offer comprehensive and individualized care in minimal access surgery, endometriosis and infertility.

1. What is a hysteroscopy?

  • It is a procedure where a camera is inserted into the uterus via the vagina and cervix to evaluate the cavity (inside) of the uterus

2. Why is it done?

  • In cases of infertility to make sure that the cavity of the uterus is normal
  • In cases of abnormal bleeding to look for polyps and fibroids
  • In cases of congenital abnormalities of the uterus
  • In cases where patients do not have periods after they previously had normal periods
  • When abnormalities were seen on ultrasound that needs to be evaluated and treated
  • To remove an intra-uterine contraceptive device or to confirm that a Mirena® is correctly placed
  • To insert an Essure® tubal occlusion device

3. Where is it done?

It can be done in the rooms or in theatre


4. Examples

1.  Septate uterus

This is where there is a dividing band in the uterus and you were born this way  We remove it as it can be associated with pregnancy losses around 12 - 16 weeks

This is where there is a dividing band in the uterus and you were born this way

We remove it as it can be associated with pregnancy losses around 12 - 16 weeks

View of cavity after resecting the septum

View of cavity after resecting the septum

2.  Fibroids 

these are non cancerous tumours of the muscle layers of the uterus and is important in cases where they affect the inside cavity of the uterus - as in these 2 pictures

3. Polyps

This forms due to an overgrowth of the calls on the inside of the uterus - the endometrial cells - and is almost always non cancerous in young patients

4.  Foreign objects

5. Adhesions in uterus

This usually forms after surgery done in the uterus and most of the time following a D&C after a miscarriage.


PROPERTY OF DR ABRI DE BRUIN 2015