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What is Hysteroscopy?

Hysteroscopy is a method of directly visualising the inside of the uterine (womb) cavity by using a thin telescopic camera. It is used to investigate and treat different conditions of the uterus such as polyps, fibroids, septum or scarring inside the uterine cavity. Hysteroscopy can be performed either under anaesthetic (deep sedation) or while being awake just with painkillers and/or local anaesthetic.

Why perform a Hysteroscopy?

Hysteroscopy is used to diagnose potential problems with a woman’s womb, or to treat them if they are known.

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What happens on the day?

You should take a day off work to undergo the procedure, particularly if you plan to undergo the Hysteroscopy under sedation. The Hysteroscopy should not be performed while you are menstruating because this can compromise the images, but it can be performed on any other day of the cycle. 

After you check in, you will be taken into the theatre where the procedure will take place. The procedure involves a telescope camera (hysteroscope) gently passed through the vagina and cervix and into the uterine cavity. Normal Saline (salt water) is passed down the hysteroscope. After the doctor inspects the uterine cavity they will take pictures and may proceed to any appropriate intervention. The actual procedure duration depends on the findings but usually doesn’t last more than 15-30 minutes.

After recovering in the clinic for an hour or so you will be able to go home. You may experience some mild symptoms such as cramping similar to menstrual cramps; these should pass within a day or two. The results of the Hysteroscopy will be fully explained by your doctor, and a written report provided.

Conditions that may be investigated with Hysteroscopy:

  • Infertility
  • Recurrent miscarriage
  • Heavy and irregular bleeding

Conditions that can be treated with Hysteroscopy:

  • Fibroids
  • Polyps
  • Scarring
  • Thickening of the uterus lining
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