Hysteroscopy — what to know before the procedure
Hysteroscopy is a gynaecological procedure that enables direct examination of the inside of the uterus using a thin optical instrument — the hysteroscope. It can be used for both diagnostic and operative purposes.
When is hysteroscopy needed?
- Unexplained bleeding between menstrual cycles
- Suspected polyps or fibroids inside the uterus
- Investigation of infertility causes
- Evaluation after repeated miscarriages
- Removal of an IUD that cannot be extracted by standard methods
How to prepare
The procedure is usually scheduled in the first phase of the menstrual cycle (days 5–10). The patient should be fasting for at least 6 hours before the procedure. Coming with someone is recommended due to anaesthesia.
Procedure overview
The hysteroscope is introduced through the cervix without any incisions. The procedure typically lasts 15–30 minutes. Diagnostic hysteroscopy is performed under local or no anaesthesia, while operative hysteroscopy requires short general anaesthesia.
Recovery
Diagnostic: the patient can go home immediately after. Operative: 1–2 days of rest. Light bleeding and cramping are normal for 1–2 days.