If your doctor has recommended a hysteroscopy, you may have questions—or feel a little nervous. That’s completely normal! The good news is that this procedure is safe, quick, and minimally invasive, and it can provide helpful answers and effective treatment for many uterine concerns.
Here’s what you need to know about why hysteroscopy is done, what to expect at each step, and how to prepare for a smooth experience.
What Is a Hysteroscopy?
A hysteroscopy is a procedure that allows your doctor to look inside your uterus using a thin, lighted instrument called a hysteroscope. It’s inserted through the vagina and cervix, so there are no incisions required.
This tool helps your provider diagnose or treat uterine issues with precision. In some cases, your doctor may even use tiny instruments during the same procedure to treat the problem immediately.
Why Is a Hysteroscopy Performed?
Your OBGYN may recommend a hysteroscopy for several reasons, including:
- Investigating abnormal or heavy menstrual bleeding
- Evaluating postmenopausal bleeding
- Checking or removing uterine polyps or fibroids
- Diagnosing or treating recurrent miscarriage
- Locating or removing an IUD
- Performing endometrial ablation or removing adhesions (scar tissue)
This procedure provides a clear, detailed view of the uterine lining, helping your doctor make informed decisions about your care.
What to Expect Before the Procedure
Most hysteroscopies are done on an outpatient basis, meaning you’ll go home the same day. Depending on the type of procedure, it may be performed in your doctor’s office or a surgical center.
Before your hysteroscopy, you may be asked to:
- Avoid eating or drinking for several hours (if anesthesia is used)
- Take prescribed medication to relax your cervix
- Arrange for a ride home, especially if sedation is involved
Your provider will explain any prep instructions in detail.
What Happens During a Hysteroscopy?
- You’ll lie on an exam table, similar to a pelvic exam
- The hysteroscope is gently inserted through the vagina and cervix
- Your uterus may be expanded slightly with saline or gas to improve visibility
- Your doctor will examine the uterine lining and perform any necessary procedures
The process typically takes 15–30 minutes. Some patients feel mild cramping, but many tolerate the procedure well, especially with local or light sedation.
What About Recovery?
Recovery is usually quick and easy. You may experience:
- Mild cramping or spotting for a day or two
- Light discharge for a few days
- Slight fatigue if anesthesia was used
You can usually return to work and normal activities within 24–48 hours. Avoid intercourse, tampon use, or heavy exercise for a few days as advised by your doctor.
When to Contact Your Doctor
While complications are rare, you should call your provider if you experience:
- Heavy bleeding (soaking more than one pad per hour)
- Fever over 100.4°F
- Severe abdominal pain
- Foul-smelling discharge
Your comfort and safety matter, don’t hesitate to reach out with any questions during recovery.
Hysteroscopy: A Helpful Step Toward Clarity and Comfort
Whether you’re dealing with heavy periods, unexplained bleeding, or fertility concerns, a hysteroscopy can be an important tool in getting the answers and relief you need.
Have Questions? We’re Here to Help
If you’ve been recommended for a hysteroscopy or want to learn more about your options, schedule a consultation with Capital Women’s Care at (301) 424-3444. Your health deserves clarity, compassion, and expert care.
Sources:
https://my.clevelandclinic.org/health/treatments/10142-hysteroscopy
https://www.raveco.com/blog/what-to-expect-before-during-and-after-a-hysteroscopy
