If you’ve been referred for a hysteroscopy, you’re likely wondering what to expect and why it’s needed. Hysteroscopy is a minimally invasive procedure that allows doctors to look inside the uterus using a thin, lighted tube called a hysteroscope. This technique helps identify and sometimes treat problems that could be causing symptoms like irregular bleeding, repeated IVF failure, or recurrent miscarriage.
Whether you’re preparing for fertility treatment or dealing with unexplained menstrual issues, hysteroscopy is a key diagnostic and therapeutic tool that can significantly improve your reproductive outcomes.
What is Hysteroscopy?
Hysteroscopy is a minimally invasive procedure that allows doctors to examine the inside of the uterus using a thin, lighted instrument called a hysteroscope. This tool is inserted through the vagina and cervix, eliminating the need for any external incisions. Hysteroscopy is commonly used to diagnose and sometimes treat conditions such as abnormal uterine bleeding, fibroids, polyps, adhesions, or uterine anomalies. It offers a clear, real-time view of the uterine cavity, making it a valuable tool in both gynecological evaluations and fertility assessments. Because it
is generally safe and quick, hysteroscopy is often performed as an outpatient procedure with minimal recovery time.
Types of Hysteroscopy
Hysteroscopy treatment comes in two forms: diagnostic and operative.
- Diagnostic hysteroscopy is used to visually inspect the uterine cavity and identify abnormalities such as fibroids, polyps, adhesions, or congenital anomalies like a uterine septum.
- Operative hysteroscopy goes a step further. In the same session, if a problem is detected, surgical instruments can be passed through the hysteroscope to treat it, like removing a polyp, cutting adhesions, or correcting a septum.
Because both procedures are performed using the same approach, many patients undergo a combined diagnostic and operative hysteroscopy in a single session, thereby reducing the need for multiple interventions.
Why Is Hysteroscopy Recommended?
Doctors may recommend hysteroscopy for a variety of gynecological and fertility-related concerns. For women experiencing irregular or heavy menstrual bleeding, hysteroscopy can help identify underlying causes such as polyps, fibroids, or hormonal imbalances. It is also used in cases of recurrent miscarriage to detect structural issues within the uterus that may be preventing a pregnancy from continuing. In women facing repeated IVF failures, hysteroscopy can reveal subtle abnormalities in the endometrial lining that might interfere with embryo implantation. The procedure is especially useful in diagnosing and treating intrauterine adhesions, also known as Asherman’s Syndrome, which can develop after infections, miscarriages, or previous uterine surgeries. Additionally, in cases of postmenopausal bleeding, hysteroscopy is often performed to rule out serious conditions like endometrial hyperplasia or cancer. For many women, this procedure can provide crucial insights that imaging tests or bloodwork alone may not uncover.
How is Hysteroscopy Performed?
One of the biggest advantages of a hysteroscopy is that it is minimally invasive, often performed on an outpatient basis, meaning you can return home the same day. The process typically begins with preparation, which may involve local or general anesthesia depending on whether the procedure is diagnostic or operative. During the procedure, a thin, lighted instrument called a hysteroscope is gently inserted through the vagina and cervix into the uterus. To allow for a clear view of the uterine cavity, a sterile liquid or gas is introduced to expand the uterus. The doctor then carefully examines the uterine lining, and if treatment is required, such as the removal of polyps, fibroids, or adhesions, tiny surgical tools are passed through the hysteroscope. Most women experience a smooth recovery, with only mild cramping or light spotting, and can usually return to their normal routine within a day.
Benefits vs Risks of Hysteroscopy
Hysteroscopy offers several important benefits for women undergoing fertility evaluation or treatment. It allows for precise visualization and treatment of uterine abnormalities such as polyps, fibroids, or adhesions, which may otherwise go undetected. By correcting these issues, hysteroscopy can significantly increase the chances of conception, especially in women undergoing IVF. The procedure is minimally invasive, typically requires little to no hospital stay, and comes with a short recovery time, helping patients avoid the need for more extensive surgeries like laparoscopy or open uterine procedures.
While generally safe, hysteroscopy does carry a few rare risks, including uterine perforation, infection, excessive bleeding, or a reaction to anesthesia. However, with experienced care and proper technique, these risks are minimal, making hysteroscopy a highly valuable tool in both
gynecologic and fertility care.
The benefits of hysteroscopy generally outweigh the risks, especially when performed by experienced gynec-endoscopy specialists like the team at Milann.
Book a Hysteroscopy Consultation with Milann
If you’ve been advised to get a hysteroscopy or have had unexplained fertility or menstrual challenges, trust the experts at Milann. Our gynec-endoscopy specialists use the latest technology to ensure precision, safety, and comfort. Book your hysteroscopy consultation today
and take a proactive step toward your reproductive health.
Reviewed by
Dr. Ayesha Gulzar Consultant - Obstetrics & Gynecology, JP Nagar.
