Hysteroscopy surgery

The inside of the uterus, the uterine cavity, can hide problems that don’t always show clearly on an ultrasound: a small polyp, a band of scar tissue, a subtle malformation present from birth. Hysteroscopy lets our specialists look directly at the uterine lining itself, and in most cases treat what they find in the same visit.

At Conceive Gynecology and Fertility Hospital, hysteroscopy is one of the most frequently used procedures for women experiencing abnormal bleeding, recurrent miscarriage, or unexplained difficulty conceiving.

What is hysteroscopy?

Hysteroscopy uses a hysteroscope, a thin, lighted telescope, passed through the vagina and cervix into the uterus. No incisions are needed at all. The hysteroscope sends a magnified image of the uterine cavity to a monitor, letting our specialist examine the uterine lining directly.

Hysteroscopy can be diagnostic, simply looking and confirming what’s there, or operative, where the same instrument is used to treat the problem immediately. In most cases at Conceive Hospital, we aim to do both in a single visit wherever possible, so you’re not left waiting for a second procedure to fix what the first one found.

Who is hysteroscopy recommended for?

Hysteroscopy is recommended whenever there’s a reason to look closely inside the uterine cavity. This includes:

Polyps and fibroids growing inside the uterine cavity. These non-cancerous growths can interfere with implantation. Hysteroscopy allows us to remove them directly, often resolving the issue in the same procedure.

Suspected uterine adhesions, also known as Asherman’s Syndrome. Bands of scar tissue inside the uterus, often following a previous surgery or infection, can affect both periods and fertility. Hysteroscopy locates the adhesions and removes them.

A possible uterine septum. This is a malformation present from birth, where a band of tissue partly divides the uterine cavity. It can contribute to recurrent miscarriage and is correctable through hysteroscopic surgery.

Abnormal or heavy bleeding, whether between periods, after menopause, or unusually prolonged, where the cause isn’t clear from a scan alone.

Recurrent miscarriage, where a uterine cause hasn’t been ruled out. Hysteroscopy is often one of the first investigations recommended.

Recovery post Hysteroscopy

Most women feel back to normal within a day or two. Some light spotting or mild cramping, similar to period pain, is common for a short time afterwards. Strenuous exercise and intercourse are usually best avoided for a few days, and your specialist will confirm exactly when it’s safe to resume both.