Hysteroscopy is a minimally invasive procedure that allows doctors to examine the inside of the uterus using a thin, lighted tube called a hysteroscope. This procedure is often recommended for women experiencing abnormal bleeding, infertility, or other uterine issues. Understanding the hysteroscopy procedure and why hysteroscopy is done can help you feel more informed and prepared if your doctor suggests it as part of your treatment plan.

Why Hysteroscopy is Done

One of the primary reasons why hysteroscopy is done is to diagnose and treat conditions affecting the uterus. It is often used to investigate the cause of abnormal uterine bleeding, which could be due to fibroids, polyps, or other structural abnormalities. Additionally, hysteroscopy can be used to diagnose causes of infertility, recurrent miscarriages, or issues detected during other imaging tests, such as ultrasounds.

In some cases, hysteroscopy is used for therapeutic purposes. For example, during the same procedure, your doctor may remove polyps or fibroids, correct uterine abnormalities, or remove scar tissue (adhesions) that might be causing symptoms or impacting fertility. This dual role of diagnosis and treatment makes hysteroscopy a valuable tool in women's health.

The Hysteroscopy Procedure

The hysteroscopy procedure is typically performed on an outpatient basis, meaning you can go home the same day. Before the procedure begins, you may be given a local anesthetic to numb the area or, in some cases, a general anesthetic to put you to sleep. The choice of anesthesia depends on the complexity of the procedure and your medical history.

During the hysteroscopy procedure, the hysteroscope is gently inserted through the vagina and cervix into the uterus. The hysteroscope is equipped with a camera, allowing your doctor to view the inside of your uterus on a monitor in real time. If necessary, small surgical instruments can be passed through the hysteroscope to perform any required procedures, such as removing polyps or taking a biopsy.

The entire hysteroscopy procedure usually takes between 10 to 30 minutes, depending on the purpose and complexity. After the procedure, you may experience mild cramping or spotting, which is normal and should resolve within a few days. Your doctor will provide post-procedure care instructions, including any medications to take and activities to avoid during your recovery period.

What to Expect During and After Hysteroscopy

During the hysteroscopy procedure, you might feel some pressure or mild discomfort, especially if only local anesthesia is used. However, most patients find the procedure to be tolerable. After the procedure, you’ll be monitored for a short time to ensure there are no immediate complications, and then you can usually go home the same day.

Recovery from hysteroscopy is generally quick, with most women returning to their normal activities within a day or two. It's important to follow your doctor's post-procedure instructions carefully to avoid complications. You should contact your doctor if you experience heavy bleeding, severe pain, fever, or any unusual symptoms following the procedure.

Conclusion

Hysteroscopy is a versatile and minimally invasive procedure that plays a crucial role in diagnosing and treating various uterine conditions. Understanding why hysteroscopy is done and what to expect during the hysteroscopy procedure can help you feel more confident and prepared if this procedure is recommended for you. Whether used for diagnosis or treatment, hysteroscopy offers valuable insights into uterine health, helping women take informed steps toward better reproductive well-being.