Learn why hysteroscopy may be suggested and how diagnostic and operative approaches differ.
Looking inside the uterus
Hysteroscopy allows a specialist to examine the uterine cavity using a fine camera passed through the cervix. It may be suggested for certain patterns of bleeding, suspected polyps or findings on an ultrasound. Not every person with these symptoms needs a hysteroscopy.
Diagnostic hysteroscopy
A diagnostic procedure focuses on evaluating the uterine cavity and may include a biopsy when indicated. Preparation and pain-management options depend on whether the examination is planned in a clinic or theatre setting.
Operative hysteroscopy
An operative procedure uses instruments to treat a selected finding, such as certain polyps, adhesions or fibroids involving the uterine cavity. The exact operation, risks and facility needs should be explained before consent.
After the procedure
Mild cramping or light spotting may occur. Persistent fever, heavy bleeding or severe pain should prompt medical review. Ask about histopathology results, follow-up timing and any effect on fertility planning.
Consent and comfort
Ask if anaesthesia or pain relief will be offered, whether tissue sampling might occur and whether a separate treatment procedure would be scheduled if an abnormality is found. The patient should understand whether the plan is diagnostic, operative or potentially both.
Results and next steps
Find out who will communicate biopsy results and when. A visual finding does not always provide a final diagnosis, and an operative procedure does not automatically remove every possible cause of abnormal bleeding.
Frequently asked questions
Can hysteroscopy treat all fibroids?
No. Suitability depends largely on fibroid position and anatomy.
When should I consult a doctor about this topic?
Arrange a clinical assessment for persistent or new symptoms. Sudden severe symptoms, suspected stroke, severe bleeding or neurological changes require emergency services.
Educational information only. This article is not a substitute for an individualized consultation. Symptoms and treatment decisions require clinician assessment. For emergency symptoms, seek immediate emergency medical care.