Hysteroscopy

Hysteroscopy Examination

Hysteroscopy is divided into diagnostic (flexible) and operative (rigid) types. The flexible type is primarily used for examination, while the rigid type can be used for both diagnosis and treatment.

CHAPTER 01

Hysteroscopy

A thin endoscope is passed through the vagina into the uterine cavity, allowing a camera to directly capture the condition inside the uterus. The examination is divided into diagnostic (flexible) and operative (rigid) types. Flexible hysteroscopy is quick and comfortable and can usually be completed without anesthesia. Based on the findings, the physician evaluates whether further treatment or surgery is needed.

Recommended for
  • Infertility
  • Recurrent miscarriage and implantation failure
  • Endometrial polyps or fibroids
  • Abnormal findings on ultrasound or other imaging tests
CHAPTER 02

Key points

01

Purpose

Directly observes the uterine cavity and endometrium to diagnose or treat intrauterine lesions.

02

Types

Diagnostic (flexible): primarily used for examination and usually requires no anesthesia. Operative (rigid): allows diagnosis and treatment at the same time and is generally performed under anesthesia.

03

Timing and duration

Performed after menstruation and before ovulation, taking approximately 3–10 minutes.

CHAPTER 03

Hysteroscope comparison

ItemDiagnostic (flexible) hysteroscopeOperative (rigid) hysteroscope
AppearanceSlim and bendableLarger diameter, not bendable
Main useMainly to examine the uterine cavityBoth diagnosis and treatment
FunctionObserve the endometrium and cavity, diagnose lesionsDiagnose and treat — removing polyps, fibroids, adhesions, etc.
DiameterAbout 2–5 mmAbout 3–7 mm
AnesthesiaUsually not requiredMay be needed, depending on the treatment
Exam / procedure timeAbout 3–10 minutesAbout 5–20 minutes (depending on the treatment)
IndicationsInfertility workup, abnormal-bleeding evaluation, endometrial assessment, etc.Treatment of uterine polyps, submucosal fibroids, adhesions, uterine septum, etc.
CHAPTER 04

FAQ

QIs a hysteroscopy painful?

Diagnostic (flexible) hysteroscopy usually requires no anesthesia. During the examination, there may be a mild foreign-body sensation or temporary pressure, which is generally tolerable. If you are sensitive to pain, discuss pain relief or anesthesia options with your physician in advance.

QWhen is the best time to do it?

It is recommended after menstruation and before ovulation, between days 7 and 11 of the menstrual cycle.

QHow long is the recovery?

Most people go home the same day; light bleeding or cramping may occur and eases within a few days.

QWhen should hysteroscopy not be performed?

Heavy uterine bleeding: This may obstruct the view and reduce examination accuracy.

Acute pelvic infection: The examination should be postponed until the infection is controlled to reduce the risk of spreading infection.

Pregnancy: Hysteroscopy is not recommended during pregnancy. Pregnancy should be ruled out before the examination, with a pregnancy test if necessary.

Precision meets life.

A clear view leads to smoother implantation

We use hysteroscopy to inspect the cavity precisely and build an ideal environment for the embryo.

Hysteroscopy | Becoming Reproductive Center | Premier IVF & Comprehensive Fertility Care