HYSTEROSCOPY – A SIMPLE GUIDE FOR PATIENTS
Understanding the procedure. Knowing why it is advised. Reducing fear and uncertainty. Hysteroscopy is a commonly recommended gynecological procedure, yet it often causes anxiety simply because many patients are unfamiliar with what it involves. This guide explains hysteroscopy in clear, simple language, helping you understand why it is advised, how it is performed, and what to expect, so that decisions feel informed rather than rushed. WHAT IS HYSTEROSCOPY? Hysteroscopy is a minimally invasive procedure that allows direct visualisation of the inside of the uterus using a thin, lighted instrument called a hysteroscope. The hysteroscope is passed gently through the vagina and cervix into the uterine cavity.No abdominal cuts or stitches are required. Because hysteroscopy uses the natural vaginal route, it is often referred to as a scarless procedure. WHY IS HYSTEROSCOPY ADVISED? Hysteroscopy may be recommended to: It allows the doctor to see the uterine cavity directly rather than relying only on scans. DIAGNOSTIC vs OPERATIVE HYSTEROSCOPY Diagnostic Hysteroscopy Used to look inside the uterus to identify abnormalities. Common reasons include: Operative Hysteroscopy Used to treat a problem during the same procedure, if identified. This may involve: In many cases, diagnosis and treatment can be done together. COMMON CONDITIONS TREATED WITH HYSTEROSCOPY Hysteroscopy is particularly helpful for conditions affecting the uterine cavity, such as: These conditions may not always be accurately identified by ultrasound alone. IS HYSTEROSCOPY PAINFUL? Most patients tolerate hysteroscopy well. Pain perception varies, and the approach is tailored to: The aim is always to keep the experience safe and comfortable. HOW IS HYSTEROSCOPY PERFORMED? The procedure generally involves: Most procedures take 15–30 minutes, depending on complexity. RECOVERY AFTER HYSTEROSCOPY Recovery is usually quick. Most patients experience: Hospital stay is often not required, and patients return home the same day. WHEN IS HYSTEROSCOPY USEFUL IN INFERTILITY? Hysteroscopy plays an important role in infertility care by: It is recommended only when clinically useful, not routinely for every patient. IS HYSTEROSCOPY SAFE? Hysteroscopy is considered a safe procedure when performed by trained specialists. Potential risks are uncommon but may include: These risks are minimised by: Performing the procedure in an equipped medical facility COMMON MYTHS ABOUT HYSTEROSCOPY Myth: Hysteroscopy always requires hospital admissionFact: Most procedures are done as day-care surgery Myth: It affects future fertility negativelyFact: When indicated, it often improves fertility outcomes Myth: It is a major surgeryFact: It is a minimally invasive procedure FREQUENTLY ASKED QUESTIONS Will hysteroscopy affect my periods? Periods usually return to normal quickly after the procedure. Can hysteroscopy be done during periods? It is usually planned after periods, but timing is individualised. Is bed rest required? No. Normal activities can usually be resumed the next day. Is hysteroscopy needed for everyone with infertility? No. It is advised selectively, based on findings and symptoms. A REASSURING FINAL NOTE Hysteroscopy is a valuable tool that allows precise diagnosis and treatment without major surgery. When advised thoughtfully, it can: If hysteroscopy has been recommended, a consultation allows you to understand why it is needed, what it involves, and what outcomes to expect, so that decisions feel confident and informed.