Hysteroscopy

A hysteroscopy is a minimally invasive procedure that allows a healthcare provider to look inside the uterus using a thin, lighted instrument called a hysteroscope. It’s used to diagnose and sometimes treat problems with the uterine cavity.

How it works

• The hysteroscope is inserted through the vagina and cervix into the uterus—no external incision is needed.

• Saline or carbon dioxide gas may be used to expand the uterine cavity for better visualization.

• Some procedures allow for tissue removal, polyp or fibroid excision, or sampling of the endometrium during the same session.
  
  

Why it’s done

Hysteroscopy can help diagnose or treat:

• Abnormal uterine bleeding

• Fibroids or polyps

• Adhesions (scar tissue), such as in Asherman’s syndrome

• Congenital uterine abnormalities

• Infertility issues related to uterine structure
  
  

What it feels like

• Typically done in-office or outpatient surgical settings

• Local, regional, or general anesthesia may be used depending on the procedure

• Mild cramping or discomfort is common during and after the procedure
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Recovery

• Most people recover quickly, often the same day

• Light bleeding or spotting for a few days is normal

• Over-the-counter pain relievers can help manage cramping