Hysteroscopy

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What is operative hysteroscopy?

It is an invasive gynecological procedure in which your doctor will insert an endoscopic optical lens through the cervix into the endometrial cavity to treat various diseases related to intrauterine pathology.

Hysteroscopy before ivf

Everything you need to know about operative hysteroscopy

This process is mainly done to treat uterus disorders. Operative hysteroscopy is also done in case of infertility, and it is also a part of IVF. It checks the uterus to ensure that it is healthy enough, as only a healthy uterus can implant and grow embryos properly. Thus your healthcare provider will perform a hysteroscopy before IVF to check the uterus's health.

When is operative hysteroscopy performed?

Operative hysteroscopy is performed to resolve the below uterine conditions:
  • Polyps and fibroids
  • Asherman syndrome (in this, bands of scares are formed in the uterus, which may alter your menstrual cycle and lead to infertility).
  • Septums (a uterus malformation present by birth).
  • Abnormal bleeding (caused because of the long menstrual cycle or bleeding after menopause).
  • Blocked fallopian tube


    • How is a hysteroscopy performed?

    Hysteroscopy IVF treatment is an outpatient procedure, which implies you don’t need to be in the hospital overnight. You will be given local anesthesia for this procedure. Below is the step-by-step procedure of hysteroscopy:

  • You need to lay down on a couch with your legs in support. Your lower body portion will be covered.
  • Your doctor may insert a speculum into the vagina to keep it open.
  • Hysteroscope will then be passed into your womb, and fluid will be passed to make it easier for the doctor to examine.
  • The internal pictures will be displayed on the camera to spot any abnormalities in the uterus.

    • After a hysteroscopy, your doctor will suggest waiting a few weeks before going for IVF.

    What are the benefits of hysteroscopy?

    Along with treating uterus problems like fibroids, adhesions, polyps, septum and abnormal bleeding, there are other benefits of hysteroscopy.

  • It takes less time to check the uterus's condition. So, you need to stay for less duration in the hospital.
  • Operative hysteroscopy is more reliable as compared to open abdomen surgery. It is also less painful.
  • Compared to other invasive uterine diagnostic, less risk is associated with operative hysteroscopy.

    • Types of hysteroscopy

    There are two types of hysteroscopy:

    Diagnostic hysteroscopy:

    It determines the uterus irregularities which may be causing abnormal bleeding.

    Operative hysteroscopy:

    It is done to treat the abnormalities diagnosed during diagnostic hysteroscopy.

    Techniques used in operative hysteroscopy

  • Electrode activation is done once its movement is noticed around the cervix.
  • The surgeon may cut or vaporize by altering generator settings.
  • The myometrium is deeply cut from the corner and in the cervix.
  • Fluid balance is deeply monitored.


    • What to expect after the hysteroscopy procedure?

    Because of anesthesia given during hysteroscopy, you will be kept under observation for several hours in a recovery room. You may experience light bleeding or cramping, which will last a few days. It is normal to feel sick or faint after the procedure.