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Hysteroscopy Understanding the Procedure & Benefits

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What is Hysteroscopy?

Hysteroscopy is a procedure that uses a thin, lighted tube called a hysteroscope to look inside the uterus. This tube is inserted through the vagina and cervix, offering a clear view of the uterus, fallopian tubes, and ovaries. The scope is about the size of a pencil, so the procedure is minimally invasive, with only small incisions needed.

There are two main types of hysteroscopy:

Diagnostic hysteroscopy: This is done to examine the inside of the uterus for any abnormalities. It helps doctors diagnose problems like uterine fibroids, polyps, adhesions, or other conditions that may affect fertility.
Operative hysteroscopy: This is a more advanced procedure where the doctor not only examines the uterus but also uses instruments to treat conditions. For example, they can remove fibroids, polyps, or adhesions that might be causing discomfort or fertility issues.

Why is Hysteroscopy Done?

Hysteroscopy plays an essential role in women's health because it allows doctors to detect and treat issues that could affect fertility or cause discomfort. It is especially beneficial for women who have been struggling with infertility or recurrent miscarriages. By using hysteroscopy, doctors can identify potential problems, such as uterine fibroids or polyps, and provide treatments to improve the chances of a successful pregnancy.

The procedure is also valuable for diagnosing abnormal bleeding, chronic pelvic pain, or other gynaecological conditions that can be difficult to understand with imaging tests alone.

Why is Hysteroscopy Performed?

Hysteroscopy is performed to diagnose and treat conditions inside the uterus that can cause abnormal bleeding, infertility, or recurrent miscarriage.

Diagnose fertility issues (fibroids, polyps, adhesions, uterine shape)
Treat reproductive abnormalities (remove polyps, fibroids, or scar tissue)
Evaluate abnormal uterine bleeding or pelvic pain

Conditions Treated with Hysteroscopy

Hysteroscopy can treat:

Uterine fibroids
Uterine polyps
Intrauterine adhesions (Asherman's syndrome)
Uterine septum and other congenital abnormalities
Abnormal menstrual bleeding
Removal of retained tissue or foreign body

How is Hysteroscopy Performed?

Hysteroscopy uses a thin, lighted tube (hysteroscope) passed through the vagina and cervix into the uterus. It is often done in an outpatient setting with local or general anaesthesia as needed.

1. Pre-surgery preparation

Medication may be given to relax the cervix. Local or general anaesthesia is administered depending on whether the procedure is diagnostic or operative.

2. Insertion of hysteroscope

The hysteroscope is inserted through the vagina and cervix into the uterine cavity. The camera provides a clear view of the uterus on a monitor.

3. Examination and treatment

The doctor examines the uterine cavity for abnormalities. If operative hysteroscopy is planned, small instruments can be passed through the scope to remove polyps, fibroids, or adhesions. The procedure typically lasts 15–30 minutes.

4. Completion and recovery

The scope is removed. Most women go home the same day with instructions for mild cramping or spotting for a few days.

Recovery After Hysteroscopy

Recovery from hysteroscopy is usually quick.

Most women go home the same day
Mild cramping or spotting for a few days; pain relief as advised
Return to normal activities within a few days
Follow-up consultation to discuss findings and next steps
Avoid tampons and intercourse for the period recommended by your doctor

Risks of Hysteroscopy

Risks of hysteroscopy are generally low but can include:

Infection
Bleeding
Injury to the uterus or cervix
Reaction to anaesthesia
Rarely: scarring or adhesions

Success Rate of Hysteroscopy

Hysteroscopy can improve fertility and pregnancy outcomes when it corrects conditions such as polyps, fibroids, or adhesions that affect implantation. Success depends on the condition treated and other fertility factors. Our team will discuss how results may impact your treatment plan and chances of conception.

Cost of Hysteroscopy

Cost of hysteroscopy varies with diagnostic vs operative procedure and facility. Contact us for an estimate and to book an appointment.