Hysteroscopy

Hysteroscopy is a medical procedure that allows direct visualization of the interior of the uterus (womb) using a hysteroscope, a thin, illuminated telescopic instrument. This procedure is used for diagnosis and, in some cases, treatment of various uterine abnormalities.

What types exist?

Diagnostic hysteroscopy: Used to identify the causes of abnormal vaginal bleeding, assess conditions such as fibroids, polyps, adhesions, and congenital uterine anomalies. It is also used to investigate infertility, recurrent miscarriages, or implantation issues during assisted reproductive procedures. Operative hysteroscopy: Used to treat various conditions within the uterus, including the removal of polyps, fibroids, separation of adhesions, and correction of some congenital anomalies. Operative hysteroscopy can also be used for the placement or removal of intrauterine devices (IUDs).

How is it performed?

The hysteroscope is inserted through the vagina and cervix into the uterine cavity. Diagnostic hysteroscopy usually does not require anesthesia, while operative hysteroscopy may be performed under local, spinal, or general anesthesia. During the procedure, gas (carbon dioxide) or fluid may be used to expand the uterine cavity and allow better visualization.

Recovery after the procedure

Recovery after hysteroscopy is usually quick. Patients may experience mild bleeding or cramping, but most can return to their usual activities within a few days.