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Hysteroscopy

Hysteroscopy is a minimally invasive diagnostic and surgical procedure that allows a doctor to look directly inside the uterus (womb) using a thin, lighted tube called a hysteroscope. It is commonly used to evaluate and treat abnormalities within the uterine cavity. A hysteroscope is inserted through the vagina and cervix into the uterus without making any incisions. The uterus is gently expanded with a fluid (such as saline or carbon dioxide gas) to provide a clear view of the uterine lining.

Diagnostic Hysteroscopy:

Used to examine the uterine cavity for abnormalities.
Often done in an outpatient setting without anesthesia or with mild sedation.

Operative Hysteroscopy

Used to correct problems found during diagnostic hysteroscopy.
Instruments can be inserted through the hysteroscope to perform procedures.

Common Reasons for Hysteroscopy:

Abnormal uterine bleeding (heavy or irregular periods).
Investigating infertility or repeated miscarriages.
Removing uterine polyps or fibroids.
Diagnosing and treating uterine septum or adhesions (Asherman’s syndrome).
Locating and removing lost intrauterine devices (IUDs).
Follow-up of abnormal imaging or biopsy results.

Hysteroscope Procedure
Preparation:

May be done under local, regional, or general anesthesia depending on complexity.
Usually scheduled after menstruation, when the uterine lining is thin.

Insertion:

The hysteroscope is inserted through the vagina and cervix into the uterus.
Saline or gas is introduced to expand the uterus.

Recovery:

Most patients go home the same day.
Mild cramping or spotting may occur for a few days.

Benefits of Hysteroscopy:

Minimally invasive with a quick recovery.
Provides direct visualization of the uterine cavity.
Can often diagnose and treat issues in a single procedure.
Reduces the need for more invasive surgery like laparoscopy or open surgery.