Abstract: The present invention provides methods, apparatus, and systems for accessing and imaging a patients body lumen, particularly a fallopian tube through an ostium, in a minimally or non-invasive manner. The present invention provides simplified ostium access apparatus and procedures which help to avoid the high cost and large size of known systems having redundant optical scopes for use in the uterine and tubal environments. By separating and independently optimizing the illumination optics from the imaging optics, the present ostium access system is able to make use of the optical image guide of a falloposcope in the substantially larger uterine cavity. As a result, fewer physicians may be required to perform such procedures, in many cases reducing the time, complexity, and, particularly, the cost of such procedures.