Gynaecology · Free template

Hysteroscopy Report Template

A hysteroscopy report describes the cervical canal, the uterine cavity and both tubal ostia. This template has quick options for common findings such as stenosis, adhesions and endometrial polyps, which you confirm and edit for each patient.

Use this template free5 reports a month free · signed PDF · no card required

Sections in this hysteroscopy report template

Cervical canal
- Normal: The cervical canal is normal in length and calibre.
- Stenosis: Mild stenosis is present at the internal os.
Uterine cavity
- Normal: The uterine cavity is normal in size and shape.
- Adhesions: Thin fibrous intrauterine adhesions cross the cavity.
- Endometrial polyp: A well-defined endometrial polyp is visualised on the posterior wall.
Tubal ostia
- Normal: Both tubal ostia are clearly visualised and appear patent.
- Occlusion: One tubal ostium is obscured by tissue or fibrous adhesion.
Impression

How to use this template in MedPrax Report

Create a free account and choose Hysteroscopy as the procedure.
Add the patient details, or pick a returning patient to reuse them.
Capture frames from a scope connected to your laptop, or upload images, and choose up to ten for the report.
Tap the common findings, then edit, type or dictate your own wording.
Review the report and download the signed PDF. Later corrections are added as amendments.

Frequently asked questions

What should a hysteroscopy report include?

Findings for the cervical canal, uterine cavity and tubal ostia, any procedure or specimens, and an impression.

Can I add hysteroscopy images?

Yes. Add captured or uploaded images and choose which appear in the signed PDF.

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Missing a section you need?

Tell us what your hysteroscopy report needs and we will consider it for the template.