Hysteroscopy is a procedure used to check inside the uterus to diagnose and treat various conditions like abnormal bleeding. A thin, flexible tube with an attached light is inserted into the vagina to examine the uterus and cervix. This device, known as a hysteroscope, has an attached light and camera to visualize the internal organs. In case any abnormalities are found, an operative hysteroscopy is performed to remove fibroids, adhesions, and polyps.
The primary use of this procedure is for diagnosing and treating the underlying cause of abnormal uterine bleeding. Hysteroscopy is not just a diagnostic procedure but a treatment as well.
Hysteroscopy is used for both diagnosing problems in a woman’s uterus as well as for treating them. It helps to identify structural irregularities in the uterus, which may cause abnormal bleeding. It also helps confirm the findings of other tests, such as HSG or an ultrasound. Hysteroscopy is classified into two types, depending on its usage:
- Diagnostic Hysteroscopy
- Operative Hysteroscopy
Who qualifies for the procedure?
Several benefits are associated with the procedure, yet the procedure is not suitable for everyone. For instance, hysteroscopy is not recommended if:
- The patient is pregnant
- The patient has an infection in their pelvic region.
The surgeon will review the patient’s current health and medical history to determine whether they qualify for a hysteroscopy. The surgeon may recommend hysteroscopy for:
- Abnormal uterine bleeding
- Bleeding after menopause
- Abnormal results in pap smear exam
- Diagnosing the cause behind infertility and recurrent miscarriage
- Examining and removing uterine polyps, fibroids, and scarring
- Finding and removing displaced IUDs
- Taking samples of tissue for biopsy
- Placing birth control inserts
- Removing endometrial lining
Why is Hysteroscopy conducted?
Hysteroscopy is done to identify and treat cases of abnormal uterine. The surgeon may perform hysteroscopy to diagnose and treat various conditions such as:
- Polyps and Fibroids: Hysteroscopy is performed to look for and remove abnormalities in the uterine structures. The surgical removal of polyps is known as hysteroscopy polypectomy. On the other hand, the surgical removal of fibroids is termed hysteroscopy myomectomy.
- Septums: Hysteroscopy can be used to determine the presence of a uterine septum, a uterine defect present since birth.
- Adhesions: Uterine adhesions are scar tissue that forms in the uterus and causes changes to your menstrual flow. They may also lead to infertility. Hysteroscopy can help locate and remove these adhesions.
Hysteroscopy may also be conducted for other issues, such as:
- Locating an intrauterine device (IUD)
- Diagnosing the cause of fertility issues and repeated miscarriages
- Diagnosing and removal of placental tissues
Benefits of Hysteroscopy
Hysteroscopy allows healthcare providers to diagnose and treat various conditions using a single surgery. It is also a means for precise and minimally invasive surgery to treat your condition.
It can help your surgeon locate abnormalities and treat them successfully without posing any risk to the surrounding tissues.
Risks / Complications of Hysteroscopy
Possible complications of hysteroscopy include:
- Excessive Bleeding
- Tearing of the uterus / Damage to the Cervix
- Pelvic inflammatory disease
- Complications from gas or fluid used for expanding the uterus
The patient may also experience cramps and slight vaginal bleeding a day or two after the procedure.
The patient may be recommended a hysteroscopy for various reasons. It could be used for cases of minor surgery or for taking a closer look are the internal organs for long-term health benefits. Make sure to discuss all your questions and concerns with your doctor about the procedure. Even though the risks are extremely low, your doctor will ensure you about the benefits and possibility of complications. The procedure has a quick recovery rate and no long-lasting effects. Get in touch with us to discuss your options and get the appropriate guidance required for your condition.
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Hysteroscopy is a minor surgery and does not require an overnight stay in the hospital.
You may experience bleeding and mild cramping for a few days following the procedure. You may also experience pain due to the gas given during the surgery.
You will be discharged from the hospital shortly after the procedure. You may experience mild cramping and slight discharge for a few days after the procedure.
In most cases, local anesthesia is used to numb the cervix during the procedure. You may be administered general anaesthesia for more complicated procedures like removing fibroids.
You may experience discomfort while urinating after the procedure for a few days. However, in case of extreme pain or burning sensation, along with a fever, you may suffer from a bladder infection. Contact your healthcare provider immediately.