Hysteroscopy

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Hysteroscopy is a procedure used to examine the inside of the uterus. A thin telescope is passed through the vagina and cervix, so abdominal incisions are usually not required. Fluid is used to gently expand the uterine cavity and improve visibility.

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Why May Hysteroscopy Be Recommended?

- Suspected endometrial polyp
- Submucosal fibroid
- Uterine adhesions
- Congenital uterine septum or cavity abnormality
- Unexplained abnormal uterine bleeding
- Retained tissue
- Selected cases of recurrent pregnancy loss
- Abnormal ultrasound or HSG findings
- Evaluation before or after fertility treatment when clinically indicated

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Diagnostic and Operative Hysteroscopy

Diagnostic hysteroscopy
The doctor inspects the uterine cavity and identifies abnormalities. A small sample may be taken when needed.
Operative hysteroscopy
Specialised instruments may be used to remove a polyp, treat selected fibroids, divide adhesions or correct a suitable uterine septum.

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What to Expect

1. Clinical review and pregnancy exclusion where relevant
2. Discussion of pain relief or anaesthesia options
3. Passage of the hysteroscope through the cervix
4. Examination or treatment of the uterine cavity
5. Short observation and discharge instructions
6. Follow-up based on findings and tissue results

Possible Risks
- Cramping or light bleeding
- Infection
- Uterine perforation
- Fluid-related complications
- Scar tissue formation
- Need for repeat or additional treatment