Hysteroscopy

Examination and treatment of the uterus

Hysteroscopy is a modern diagnostic and treatment procedure that allows the doctor to examine the inside of the uterus. It is usually performed as an outpatient procedure and does not typically require general anaesthetic.

Examinations

During the examination, a 4.5mm hysteroscope is gently inserted into the cervix. The small diameter of the instrument helps to minimise discomfort. Outpatient hysteroscopy usually requires little or no pain relief. You may eat and drink as normal before attending your appointment.

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Indications

Hysteroscopy may be recommended to:

  • investigate the cause of uterine bleeding
  • investigate possible causes of infertility
  • assess the effect of previous surgical or medical treatment
  • evaluate the need for further surgical intervention
  • confirm the presence of a suspected uterine polyp‍

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Possible procedures during the examination

During hysteroscopy, it may be possible to:

  • take a sample from the lining of the uterus
  • remove small polyps
  • remove intrauterine adhesions
  • remove a uterine septum or foreign body (e.g., part of the intrauterine device)
  • reposition a displaced intrauterine device

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Follow-up care and recovery

After outpatient hysteroscopy, you will be able to return home the same day. Light bleeding or spotting may occur for a few days following the procedure.