Admin
October 7, 2026
Hysteroscopy is a minimally invasive procedure that allows a gynecologist to look inside the uterus using a thin, lighted instrument called a hysteroscope. It can be used not only to diagnose problems inside the uterus but also to treat many conditions during the same procedure.
Problems such as uterine polyps, submucosal fibroids, blocked fallopian tube openings and retained products of conception (RPOC) may sometimes be treated through hysteroscopic procedures. Because the treatment is performed through the natural vaginal and cervical passage, there is usually no need for an abdominal incision.
At Amayra Healthcare, Chandigarh, hysteroscopic procedures are used as part of minimally invasive gynecological care, depending on the patient's condition and medical assessment.
Hysteroscopy is a procedure in which a thin telescope-like instrument, called a hysteroscope, is gently passed through the vagina and cervix into the uterus.
The hysteroscope has a camera and light that allow the gynecologist to clearly examine the uterine cavity. Small surgical instruments can also be introduced through the hysteroscope to remove or treat certain abnormalities.
Depending on the reason for the procedure, hysteroscopy may be performed for diagnosis, treatment, or both.
A gynecologist may recommend hysteroscopy when there is:
Abnormal or heavy menstrual bleeding
Suspected uterine polyp
Submucosal fibroid
Infertility or recurrent pregnancy loss associated with an abnormal uterine cavity
Suspected retained products of conception
Difficulty accessing the opening of a fallopian tube
An abnormality seen on ultrasound or other imaging
A need to evaluate or treat the uterine cavity directly
One of the major advantages of operative hysteroscopy is that diagnosis and treatment can sometimes be performed during the same procedure.
1. Hysteroscopic Polyp Removal
A uterine polyp, also called an endometrial polyp, is a growth that develops from the lining of the uterus. Some polyps may cause no symptoms, while others can contribute to abnormal bleeding or may be associated with fertility problems.
Depending on its size and location, a polyp may be associated with:
Heavy periods
Bleeding between periods
Irregular menstrual bleeding
Bleeding after menopause
Difficulty conceiving in some women
Not every polyp requires immediate removal. The decision depends on factors such as symptoms, size, age, fertility plans and clinical findings.
During hysteroscopic polyp removal, the hysteroscope is inserted into the uterus and the polyp is identified under direct vision.
Specialized instruments are then used to remove the polyp from its attachment. The removed tissue may be sent for laboratory examination when appropriate.
Because the gynecologist can see the uterine cavity directly, hysteroscopy allows more targeted removal than procedures performed without direct visualization.
2. Hysteroscopic Fibroid Removal
Fibroids are common, non-cancerous growths of the uterus. Their location is important when considering treatment.
Submucosal fibroids, which grow toward or into the uterine cavity, may cause heavy menstrual bleeding and can sometimes affect fertility.
For appropriately selected submucosal fibroids, hysteroscopic myomectomy can be an option.
Hysteroscopic myomectomy is a minimally invasive procedure used to remove a fibroid that projects into the uterine cavity.
The hysteroscope is introduced through the vagina and cervix. The surgeon identifies the fibroid and removes it using specialized hysteroscopic instruments.
There is no abdominal incision.
However, hysteroscopy is not suitable for every type or size of fibroid. Fibroids located deep within the uterine muscle or outside the uterus may require a different surgical approach.
In selected women, treatment of a submucosal fibroid that distorts the uterine cavity may be considered as part of fertility management.
The effect on fertility depends on several factors, including the woman's age, ovarian reserve, other fertility factors and the characteristics of the fibroid. Therefore, treatment should be individualized rather than recommended solely based on the presence of a fibroid.
3. Hysteroscopic Cannulation
Hysteroscopic tubal cannulation is a specialized procedure that may be considered when there is a blockage or narrowing near the uterine opening of a fallopian tube.
The fallopian tubes connect the uterus to the ovaries and play an important role in natural conception.
Sometimes, a test such as an HSG may suggest that a fallopian tube is blocked near its uterine opening. In some cases, the apparent blockage may be related to temporary factors such as mucus, spasm or technical limitations of the test.
During hysteroscopy, the doctor can examine the uterine cavity and identify the openings of the fallopian tubes.
A very fine catheter or specialized instrument may then be guided through the tubal opening to assess or attempt to overcome a proximal obstruction.
The purpose is to determine whether the tube can be accessed and opened while minimizing unnecessary intervention.
No. Hysteroscopic cannulation is appropriate only for selected patients after evaluation.
The condition of the rest of the fallopian tube, the opposite tube, ovarian function, sperm factors and overall fertility history may also influence the recommended treatment.
4. Hysteroscopic Removal of RPOC
RPOC stands for Retained Products of Conception.
After a miscarriage, abortion or delivery, pregnancy-related tissue may occasionally remain inside the uterus. This is known as retained products of conception.
RPOC may cause symptoms such as:
Persistent or heavy vaginal bleeding
Pelvic pain or cramping
Fever in some cases
Delayed return of normal menstrual cycles
Occasionally difficulty conceiving if untreated
An ultrasound may help identify suspected RPOC, although the findings need to be interpreted in the clinical context.
When treatment is required and hysteroscopy is considered appropriate, the hysteroscope allows the doctor to directly see the uterine cavity and identify the retained tissue.
Specialized instruments can then be used to remove the tissue under direct visualization.
The goal is to remove the retained tissue while minimizing unnecessary injury to the healthy uterine lining.
This is one reason hysteroscopic treatment can be valuable in appropriately selected cases where preserving the uterine cavity is important, particularly for women who may wish to become pregnant again.
Why Choose Hysteroscopy for Uterine Problems?
Hysteroscopy has several potential advantages when compared with procedures that do not provide direct visualization of the uterine cavity.
The doctor can see the inside of the uterus rather than relying only on imaging.
The procedure is performed through the natural vaginal and cervical passage, without an abdominal incision.
Polyps, selected fibroids and other abnormalities can be treated directly at the site where they are found.
Many hysteroscopic procedures are day-care procedures, although recovery varies according to the procedure performed and the patient's individual circumstances.
When appropriate, direct visualization can help the surgeon work precisely within the uterine cavity.
Is Hysteroscopy Safe?
Hysteroscopy is generally considered a safe procedure when performed for an appropriate indication by a trained gynecological surgeon. However, like any medical procedure, it has potential risks.
These can include bleeding, infection, injury to the uterus or cervix, fluid-related complications and, rarely, the need for additional treatment.
The risks depend on the type and complexity of the procedure, the patient's health and other individual factors.
Your gynecologist should discuss the expected benefits, alternatives and possible risks before surgery.
What Happens After Hysteroscopy?
Recovery depends on what was performed.
Some women may experience mild cramping or light vaginal bleeding for a short period after the procedure. Your doctor will provide specific instructions regarding medication, activity, intercourse and follow-up.
After procedures such as polyp or fibroid removal, the removed tissue may be sent for histopathological examination.
If hysteroscopy was performed as part of fertility treatment, your doctor may also discuss when it is appropriate to start trying for pregnancy or continue with fertility treatment.
When Should You See a Gynecologist?
You should consider a gynecological evaluation if you experience:
Repeated heavy or abnormal bleeding
Bleeding between periods
Persistent bleeding after pregnancy loss or delivery
Recurrent pelvic pain
Difficulty conceiving
An ultrasound showing a uterine polyp or submucosal fibroid
Suspected retained products of conception
A suspected blockage near the uterine end of a fallopian tube
A proper evaluation is important because similar symptoms can have different causes.
Frequently Asked Questions About Hysteroscopy
The level of discomfort depends on the type of hysteroscopy, the procedure being performed and the type of anesthesia used. Operative hysteroscopy is generally performed with appropriate anesthesia or pain control.
Most hysteroscopic procedures are minimally invasive and do not require an abdominal incision. However, the complexity varies depending on what needs to be treated.
Yes, selected uterine polyps and submucosal fibroids can be removed hysteroscopically. Suitability depends on their size, location and characteristics.
Hysteroscopic tubal cannulation may be considered for selected cases of proximal tubal blockage. A complete fertility evaluation is important before deciding on this treatment.
RPOC means retained products of conception, referring to pregnancy-related tissue that remains inside the uterus after a pregnancy ends.
In selected cases, hysteroscopic removal can be used to directly identify and remove retained tissue from the uterine cavity.
Many women can conceive after hysteroscopic treatment, depending on the underlying condition and other fertility factors. Your doctor can advise you about pregnancy planning after the specific procedure you undergo.
Hysteroscopy in Chandigarh
Hysteroscopy has become an important part of minimally invasive gynecological care. Procedures such as hysteroscopic polyp removal, hysteroscopic fibroid removal, tubal cannulation and hysteroscopic removal of RPOC can help appropriately selected patients manage problems inside the uterus while avoiding abdominal surgery.
At Amayra Healthcare, Chandigarh, Dr. Ajay Aggarwal provides gynecological and minimally invasive surgical care, with treatment planned according to each patient's symptoms, examination findings, imaging and reproductive goals.
If you have been diagnosed with a uterine polyp, submucosal fibroid, suspected tubal blockage or retained products of conception, a gynecological consultation can help determine whether hysteroscopy is suitable for you.
Important: Hysteroscopy is not appropriate for every patient or every uterine condition. The choice of procedure should be made after an individualized medical evaluation.
Directly from our patients about their experiences with Amayra Health Care.
