A hysteroscopy is a procedure used to examine the inside of the womb (uterus).
It’s carried out using a hysteroscope, which is a narrow telescope with a light and camera at the end. Images are sent to a monitor so your doctor or specialist nurse can see inside your womb.
The hysteroscope is passed into your womb through your vagina and cervix (entrance to the womb), which means no cuts need to be made in your skin.
When a hysteroscopy may be carried out
A hysteroscopy can be used to:
investigate symptoms or problems – such as heavy periods, unusual vaginal bleeding, postmenopausal bleeding, pelvic pain, repeated miscarriages or difficulty getting pregnant
diagnose conditions – such as fibroids and polyps (non-cancerous growths in the womb)
treat conditions and problems – such as removing fibroids, polyps, displaced intrauterine devices (IUDs) and intrauterine adhesions (scar tissue that causes absent periods and reduced fertility)
A procedure called dilatation and curettage (D&C) used to be commonly used to examine the womb and remove abnormal growths, but nowadays hysteroscopies are carried out instead.
What happens during a hysteroscopy
A hysteroscopy is usually carried out on an outpatient or day-case basis.
This means you don’t have to stay in hospital overnight.
It may not be necessary to use anaesthetic for the procedure, although local anaesthetic (where medication is used to numb your cervix) is sometimes used.
General anaesthetic may be used if you’re having treatment during the procedure or you would prefer to be asleep while it’s carried out.
During a hysteroscopy:
you lie on a couch with your legs held in supports and a sheet is used to cover your lower half an instrument called a speculum may be inserted into your vagina to hold it open (the same instrument used for a cervical screening test), although this isn’t always necessary the hysteroscope is passed into your womb and fluid is gently pumped inside to make it easier for your doctor to see
the camera sends pictures to a monitor so your doctor can spot and/lol treat any abnormalities.
A hysteroscopy can take up to 30 minutes in total, although it may only last around 5-10 minutes if it’s just being done to diagnose a condition or investigate symptoms.
You may experience some discomfort similar to period cramps while it’s carried out, but it shouldn’t be painful.
Copied from nhs.uk/conditions/hysteroscopy