Misoprostol (Cytotec) 200ug vaginally will be given to patients 12 hours and 2 hours
pre-operatively (before surgery) for a total of 400ug to ripen, soften or relax the cervix
for dilation (opening). This is to assist with the insertion of a hysteroscope (the surgical
instrument) into the uterus for all operative hysteroscopic procedures requiring dilation
above 5 mm.
Time required for cervical dilatation will be recorded. Start time will be when the smallest
dilator is placed into the endocervical canal, and stop time recorded when the desired
cervical dilation is achieved with the largest dilator. Depending on the procedure, desired
dilation may range between 5-10mm. Time will serve as a surrogate for operative ease of
dilatation.
The investigators will compare the two groups in terms of medication, resistance, dilation
time and size, side effects and surgical complications.