Hysteroscopy what is it

Every woman is examined in gynecology, and what is hysteroscopy of the uterus, what are its advantages in the treatment of diseases, not everyone knows to the end. In this article, we will answer the most common questions from our patients.

What is hysteroscopy for?

If you ask yourself the question: “hysteroscopy, what is it?”, Then here is a simple answer: this is the most popular diagnosis in gynecology for the treatment and examination of the cervix. An examination is performed using a hysteroscope. The device is inserted into the cervical canal (vagina) for examination or scraping of the uterine cavity.  Hysteroscopy is performed with anesthesia and does not last long, from 10 to 45 minutes. For medicinal purposes, surgical interventions can be performed to remove neoplasms.

Procedure progress

How hysteroscopy is performed and how the procedure begins, we will describe below. The first step is spinal or general anesthesia. The doctor will begin work as soon as the pain relievers take effect. An optical imaging system and a micro-instrument are built into the device. Through an electronic pump, a special solution is supplied inside, which helps to expand the cervix. On the monitor screen, the gynecologist can see the vagina well enough from the inside. A visual examination will confirm or deny the need for surgery. The basis for the operation may be: polyps, reduction of small lips ( synechiae ), neoplasms.  Surgical manipulations do not injure the healthy layers of the uterus, which makes it possible to completely restore the vaginal cavity.

The hysteroscopy procedure must be done at the end of the menstrual cycle up to 7 days. At this time, the thickness of the vaginal tissues is thin, which makes it possible to identify pathology with 100% probability. The duration of the procedure depends on its complexity and can be from 10 to 45 minutes. There may also be bleeding after the procedure.

Where to do hysteroscopy

In a regular clinic, you will not be offered hysteroscopy.  Only a modern hospital is equipped with the latest equipment, where trained gynecological surgeons will do hysteroscopy.


What is hysteroscopy and laproscopy

Laparoscopy is a type of surgery in gynecology, which is one of the safest and most sparing methods of solving female diseases. An instrument is inserted into the patient’s abdominal cavity, which is equipped with optics with a diameter of 5 mm. Indications for surgery using laparoscopy are:

  • obstruction of the fallopian tubes;
  • cysts on the ovaries ;
  • removal of myomatous nodes;
  • removal of the fallopian tubes;
  • endometriosis of the uterine cavity .

During laparoscopy, the gynecologist can separate adhesions in the pelvis that could be causing infertility.  With this treatment, the patient’s chances of becoming pregnant naturally will increase significantly.

Hysteroscopy is an examination of the uterine cavity using an optical system without anesthesia. In the study of pathology, this method can be divided into:

  • the diagnostic process allows you to examine the vagina to establish pathology;
  • surgical is a planned surgical intervention;
  • control examination allows you to assess the effectiveness of surgical or conservative treatment.

You already know what hysteroscopy and laparoscopy are and whether you need to do the procedure, the gynecologist will tell you at the consultation.


What is better curettage or hysteroscopy

Curettage of the uterus is an old method of solving women’s problems. This procedure did not provide guarantees of treatment.  Often the disease came back again, due to constant anesthesia and curettage. This was due to the fact that the entire focus of the disease was not removed.  Hysteroscopy has replaced the old method. The gynecologist on the camera sees the endometrial cavity in real time. The doctor will help assess the extent of tissue damage and healing. The procedure is a one-day surgery with a hospital stay of  2-4 hours. And what is better curettage or hysteroscopy is up to you.

Indications for hysteroscopy

Additionally, it is necessary to examine the cervix if you have the following indications for hysteroscopy:

  • untimely menstrual cycle;
  • infertility;
  • polyps, neoplasms;
  • endometrial cancer;
  • removal of the remnants of a foreign body;
  • diagnostics on the recommendation of a gynecologist;
  • excessive bleeding.

Contraindications to hysteroscopy

  • diseases of the genital organs;
  • chronic exacerbation of the disease;
  • carrying a child;
  • ectopic pregnancy
  • submucous uterine myoma more than 2 cm;
  • developing cervical cancer;
  • poor blood clotting.

Advantages and disadvantages of hysteroscopy

What is diagnostic hysteroscopy and what its advantages will be discussed below:

  • maximum accuracy, through the device of the hysteroscope, the gynecologist can examine the smallest details on the monitor camera;
  • advantage of taking samples in hard-to-reach places. Such examinations help to identify Infertility or problems of miscarriage;
  • the accuracy and non-traumatic nature of the method, allows you to lead a thin tube with minimal expansion of the vagina.
  • immediate treatment, if pathology is detected. During the diagnosis of problems such as polyps or intrauterine adhesions, they can be resolved immediately. Special attachments on the device will remove neoplasms on the examination of the vagina.

The disadvantages of hysteroscopy include the price for the procedure. The fact is that the examination requires high-quality modern equipment and highly qualified doctors. However, the treatment of pathology compensates for this disadvantage.


Now you know what diagnostic hysteroscopy is and what are its advantages over the old method of treatment.  Do not put off going to the gynecologist on the back burner. Go to the hospital for consultation and treatment of the disease. Pay attention to the important articles on the website of the clinic for children and adults:  preparation for gastroscopy , what not to do after laparoscopy and other useful articles.

Take care of your health!

Dr. Ashwani Kumar is highly skilled and experienced in treating major and minor general medicine diseases.