2024-01-01 · gynecology, uterus, endoscopic
Hysteroscopy FAQ
What Is a Hysteroscopy?
Hysteroscopy is a minimally invasive procedure that allows a clinician to view the inside of the uterus using a thin, lighted telescope called a hysteroscope. It can be used for diagnosis, such as evaluating abnormal bleeding, or for treatment, such as removing polyps or fibroids.
Why Is Hysteroscopy Performed?
Common reasons include:
- Abnormal uterine bleeding
- Suspected uterine polyps or fibroids
- Recurrent miscarriage evaluation
- Removal of retained tissue after pregnancy
- Investigation of infertility
Your provider will explain the specific goal for your procedure.
How Is the Procedure Done?
Hysteroscopy may be performed in an office or surgical setting. The hysteroscope is inserted through the cervix into the uterus, often with a fluid or gas to gently expand the cavity for better viewing. If treatment is needed, small instruments can be passed through the hysteroscope to remove or correct tissue.
What Happens After Hysteroscopy?
Most patients go home the same day. Mild cramping or spotting is common for a few days. You may be advised to avoid tampons, douching, or intercourse for a short period to reduce infection risk.
How Long Is Recovery?
Recovery is usually quick, with many people returning to normal activities within 24 to 48 hours. If additional procedures were performed, recovery may take slightly longer.
What Are the Risks or Complications?
Hysteroscopy is generally safe, but potential risks include:
- Infection
- Heavy bleeding
- Uterine perforation (rare)
- Reaction to anesthesia or distending media
Discuss your personal risks with your care team.
Can Hysteroscopy Affect Fertility?
Hysteroscopy may improve fertility if it removes polyps, fibroids, or adhesions that interfere with implantation. Your provider can explain how findings may impact future pregnancy plans.
When Should I Call My Doctor?
Contact your provider if you experience heavy bleeding, severe abdominal pain, fever, or foul-smelling discharge after the procedure.