A hysteroscopy is a crucial procedure that provides valuable insights into women’s health concerns. At Bloom Women’s Health, we prioritise your well-being and offer comprehensive hysteroscopy services to address your indivdidual health needs.
A hysteroscopy is a minimally invasive gynaecological procedure used to examine the uterine cavity. It involves inserting a thin, lighted instrument called a hysteroscope through the vagina and cervix into the uterus.
The hysteroscope contains a camera that transmits images to a monitor, allowing the gynaecologist to examine the uterine lining and identify potential abnormalities.
Unlike some other surgical procedures, a hysteroscopy does not usually require incisions in the abdomen.
There are two main types of hysteroscopy:
A diagnostic hysteroscopy is performed to investigate symptoms or findings from other examinations.
It may help identify:
A diagnostic hysteroscopy may also involve taking a tissue sample for further examination.
An operative hysteroscopy allows a gynaecologist to perform certain treatments inside the uterus using specialised instruments.
Depending on the condition, this may include:
Whether treatment can be performed during the same procedure depends on the findings, the complexity of the condition and the planned surgical approach.
Your gynaecologist may recommend a hysteroscopy when symptoms, examination findings or imaging results suggest a condition affecting the uterine cavity.
Common reasons include:
A hysteroscopy may help investigate unusually heavy, prolonged or irregular menstrual bleeding, particularly when a structural cause is suspected.
Conditions such as uterine polyps or submucosal fibroids may contribute to abnormal bleeding.
If you experience persistent changes in your menstrual cycle, an assessment for menstrual disorders can help determine which investigations may be appropriate.
Vaginal bleeding after menopause should always be assessed by a healthcare professional.
Depending on your symptoms and initial investigation results, your gynaecologist may recommend a hysteroscopy to examine the uterine lining and obtain a biopsy if necessary.
Uterine polyps are growths that develop from the lining of the uterus, while fibroids are generally non-cancerous growths arising from the muscular wall of the uterus.
A hysteroscopy can help identify polyps and certain fibroids located within or projecting into the uterine cavity. Some may be suitable for removal during the procedure.
In selected circumstances, a hysteroscopy may be recommended during an investigation into difficulty conceiving or recurrent pregnancy loss.
It can help assess whether structural abnormalities or adhesions within the uterus may be contributing factors.
However, hysteroscopy is not routinely required for every person experiencing fertility difficulties. Your gynaecologist will consider your individual history and other investigation results.
The procedure varies depending on whether the hysteroscopy is diagnostic or operative and whether anaesthesia is required.
Typically, the process involves:
A diagnostic hysteroscopy may take approximately 5 to 30 minutes, although operative procedures can take longer.
Many hysteroscopies are performed as day procedures, but the setting and length of your hospital stay depend on the procedure and your medical circumstances.
Hysteroscopy may be performed using different approaches to pain management and anaesthesia.
Depending on the procedure and your medical needs, options may include local anaesthesia, sedation or general anaesthesia.
Some diagnostic hysteroscopies can be performed while the patient is awake. More complex procedures may require a general anaesthetic.
It is important to understand that hysteroscopy can cause discomfort or pain, and experiences vary between individuals.
Your gynaecologist will discuss the available options, including what to do if you experience significant discomfort during an awake procedure.
A hysteroscopy biopsy involves collecting a small sample of tissue from the uterine lining, also known as the endometrium.
The tissue is sent to a pathology laboratory for examination.
A biopsy may be recommended to investigate:
A biopsy does not necessarily mean that cancer is suspected. It is one of several diagnostic tools used to investigate uterine health concerns.
Your gynaecologist will explain how and when your results will be communicated and whether additional assessment or treatment may be necessary.
Preparation depends on the type of hysteroscopy and whether anaesthesia is planned.
Before the procedure, your healthcare team may provide instructions about:
A hysteroscopy is generally not performed during pregnancy. Inform your gynaecologist if there is any possibility that you may be pregnant.
If you are attending Bloom Women’s Health for the first time, you can also read about what to expect at your first gynaecology appointment.
Recovery following a hysteroscopy varies depending on the type of procedure, whether tissue was removed and the anaesthesia used.
Common symptoms following hysteroscopy include:
These symptoms generally improve over the following days.
Many patients can resume normal activities relatively quickly following an uncomplicated diagnostic hysteroscopy. However, additional recovery time may be necessary following operative treatment or general anaesthesia.
Your healthcare team will provide instructions regarding exercise, sexual activity, tampon use, driving and returning to work.
Although serious complications are uncommon, seek prompt medical advice if you experience:
If symptoms are severe or you cannot obtain prompt medical advice, attend an emergency department.
Hysteroscopy is generally considered a safe procedure, but all medical procedures carry some risk.
Potential complications include infection, excessive bleeding, injury to the cervix and uterine perforation, where an instrument creates a small hole in the uterine wall.
Some operative hysteroscopies also involve risks related to the fluid used to expand the uterine cavity.
The likelihood of complications depends on the procedure, the patient’s medical history and other individual factors.
Your gynaecologist will explain the relevant risks, potential benefits and alternatives before you decide whether to proceed.
Although the names are similar, hysteroscopy and hysterectomy are different gynaecological procedures.
Hysteroscopy | Hysterectomy |
Examines the inside of the uterus | Surgically removes the uterus |
May diagnose or treat conditions within the uterine cavity | May be recommended for selected gynaecological conditions |
Usually does not require abdominal incisions | May be performed vaginally, laparoscopically or through abdominal surgery |
Preserves the uterus | Pregnancy is no longer possible after surgery |
A hysteroscopy may be used to investigate or manage certain conditions without removing the uterus.
A hysterectomy is a more extensive surgical procedure that may be considered for particular conditions when clinically appropriate.
For patients researching hysterectomy specialists or uterus removal surgery in Brisbane, Bloom Women’s Health also provides information about hysterectomy procedures and treatment considerations.
At Bloom Women’s Health, our gynaecologists provide consultations to assess uterine health concerns and discuss whether hysteroscopy may be appropriate.
Our approach focuses on understanding your symptoms, reviewing relevant investigations and explaining the available management options.
Whether you are experiencing abnormal uterine bleeding, have been diagnosed with a uterine polyp or require further investigation of your uterine lining, our team can help you understand the next steps.
Our broader gynaecology services also cover a range of reproductive and gynaecological health concerns.
Some patients experience mild cramping or discomfort, while others may experience significant pain. Pain management options depend on the procedure and may include local anaesthesia, sedation or general anaesthesia. Discuss any concerns with your gynaecologist beforehand.
A diagnostic hysteroscopy may take approximately 5 to 30 minutes. Operative procedures, including removal of polyps or fibroids, may take longer depending on their complexity.
Yes. Certain uterine polyps can be removed during an operative hysteroscopy. Whether removal is suitable depends on factors such as the size, location and nature of the polyp.
Many patients return to usual activities within a day or two following an uncomplicated diagnostic hysteroscopy. Recovery may take longer after operative treatment or general anaesthesia. Your gynaecologist will provide individualised instructions.
Diagnostic hysteroscopy does not usually affect fertility. In selected cases, treating abnormalities within the uterine cavity may be part of fertility management. However, outcomes depend on the underlying condition and individual circumstances.
No. Hysteroscopy involves examining or treating the inside of the uterus while preserving it. Uterus removal surgery is called a hysterectomy and involves surgically removing the uterus.
If you have been referred for a hysteroscopy or are experiencing symptoms that require further investigation, Bloom Women’s Health can provide specialist gynaecological assessment.
Our team can discuss your symptoms, explain the available investigations and help determine the appropriate next steps based on your individual health needs.
Contact Bloom Women’s Health to arrange a gynaecology consultation in Brisbane.
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