Hysteroscopy: Diagnosis & Treatment of Uterine Abnormalities

Hysteroscopy is a minimally invasive surgical procedure using a hysteroscope to investigate abnormal uterine bleeding, infertility, or miscarriages. Common conditions addressed include fibroids, polyps, and adhesions (Asherman’s Syndrome), with many treatable during the same procedure. Recovery is typically 1–2 days, with mild cramping and spotting as common side effects.

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Key Takeaways

Diagnosing Uterine Bleeding and Infertility Causes with Hysteroscopy

Hysteroscopy visually identifies uterine abnormalities like fibroids, polyps, or adhesions, which may contribute to infertility or heavy bleeding. The procedure is often scheduled one week after menstruation to minimize bleeding risks.

Correcting Fibroids and Polyps During Hysteroscopy

Non-cancerous growths such as submucosal fibroids or endometrial polyps can be removed during the procedure using specialized tools, reducing their impact on fertility and menstrual irregularities.

Treating Uterine Adhesions (Asherman’s Syndrome) via Hysteroscopy

Scar tissue bands (adhesions) in the uterus, which hinder embryo implantation, are diagnosed and surgically removed during hysteroscopy to improve pregnancy outcomes.

Hysteroscopy Recovery and Post-Procedure Care

Patients typically experience mild cramping and spotting for 1–2 days post-procedure. Severe symptoms like fever or heavy bleeding require immediate medical attention.

Endometrial Ablation for Chronic Bleeding

For women who have completed childbearing, hysteroscopy can perform endometrial ablation to destroy the uterine lining, effectively managing persistent heavy menstrual flow.

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