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Diagnostic & Operative Hysteroscopy

Exploring and Treating the Uterine Cavity for Successful Implantation.

What is Hysteroscopy?

Hysteroscopy is a procedure that allows a doctor to look inside the uterus to diagnose and treat causes of abnormal bleeding or infertility. It is performed using a hysteroscope, a thin, lighted tube that is inserted into the vagina and through the cervix to examine the uterine cavity without any incisions.

In the context of fertility, hysteroscopy is invaluable for ensuring the "cradle" (the uterus) is perfectly healthy for an embryo to implant and grow.

Types of Hysteroscopy

Diagnostic Hysteroscopy

Used to find the cause of infertility or repeated miscarriages. It helps identify polyps, fibroids, or structural issues like a uterine septum.

Operative Hysteroscopy

Used to treat a found abnormality. Small instruments are passed through the hysteroscope to remove polyps, fibroids, or scar tissue during the same procedure.

Common Indications for Hysteroscopy

We typically recommend hysteroscopy for:

  • Abnormal Bleeding: Investigating heavy or irregular menstrual periods.
  • Polyps and Fibroids: Identifying and removing growths that may interfere with pregnancy.
  • Uterine Septum: Correcting a congenital malformation where a wall of tissue divides the uterus.
  • Asherman’s Syndrome: Removing scar tissue (adhesions) inside the uterus that may have formed after a previous surgery or infection.
  • Recurrent Miscarriage: Checking for uterine abnormalities that could be causing pregnancy loss.
  • Failed IVF Cycles: Ensuring the uterine lining is optimal before a subsequent transfer.

The Hysteroscopy Experience

The Procedure

Hysteroscopy can be done under local, regional, or general anesthesia, depending on the complexity. The cervix is gently dilated, and the hysteroscope is inserted. A liquid (saline) is used to expand the uterus for a clear view. The procedure usually takes between 15 and 30 minutes.

Recovery

Most patients can go home shortly after the procedure. You might experience some mild cramping or slight spotting for a day or two. Most women can return to work the following day.

Why Hysteroscopy is Essential for IVF

For an IVF cycle to be successful, a healthy embryo needs a healthy environment to implant. Hysteroscopy allows us to confirm that the uterine cavity is free of any obstructions or inflammations (endometritis) that could hinder the embryo's ability to stick and grow. Studies show that correcting even minor uterine issues can significantly boost IVF success rates.

Optimizing Your Uterine Health

At GEM Hospital, we prioritize every detail of your fertility journey. Our hysteroscopy specialists provide expert diagnostic and surgical care to ensure your path to parenthood is as smooth as possible.

Book a Uterine Evaluation