What is a hysteroscopy?

A hysteroscopy is a procedure that allows doctors to look inside the womb (uterus). A hysteroscope, a thin telescope with a light and camera at the end, is used to do the procedure. Your doctor or specialist nurse can look inside your womb thanks to images delivered via a monitor. Because the hysteroscope is delivered into your womb through your vaginal and cervix, no cuts in your skin are required. As a result, a hysteroscopy is a minimally invasive technique.

Hysteroscopy Complications

Uterine perforation — Uterine perforation is the most common complication of hysteroscopy. Uterine perforation can occur during mechanical cervical dilation or insertion of the hysteroscope. Such a perforation may be recognised when an instrument passes beyond the depth of the uterine fundus, when there is a sudden loss of visualisation, when bowel or peritoneal structures can be visualised at the uterine fundus, or when there is a sudden increase in the fluid deficit. Complications of a hysteroscopy can include:

  • Urinary tract or bowel injury — Bowel or bladder injury is rare but may be associated with uterine
  • Cervical laceration — Cervical lacerations can occur, particularly in women with cervical stenosis. Lacerations that are large or are bleeding require sutures.
  • Embolism — Embolism (air or carbon dioxide) can occur with any hysteroscopic technique and cause cardiovascular collapse.
  • Haemorrhage — Potential sources of intraoperative bleeding include operative sites, uterine perforation, and cervical laceration. Bleeding from cervical lacerations that are recognised at surgery can be controlled using operative instruments.
  • Electrosurgical injury — Thermal effects of radiofrequency or laser energy can cause injuries to the uterine cavity and bowel, urinary bladder, and large pelvic vessels.
  • Sepsis - Sepsis generally results from unrecognised thermal bowel injury. Fistulae or urinary ascites can occur from an unrecognised bladder injury. Such complications require consultation with a colorectal surgeon, urologist, or infectious disease specialist.


Treatment options may vary depending on the age of the woman being treated.  Treatment options include:

  • Birth control can address the hormone imbalance and keep menstruation regular
  • Progestin therapy may help regulate menstruation and reduce the risks of endometrial cancer.
  • Hormonal treatments such as anti-oestrogen medication, insulin lowering medication, and Gonadotropins can also be considered.
  • Weight loss can help regulate your menstrual cycle and hormones and reduce your risk of developing diabetes.
1How long does a hysteroscopy take?

A hysteroscopy can take less than five minutes but can also take longer than an hour to perform.

2How long does it take to recover from a hysteroscopy?

The day after a hysteroscopy, most women believe they can resume normal activities, including work.

3When should you get a hysteroscopy?

In addition to irregular bleeding, a woman may require a diagnostic hysteroscopy for various reasons, including determining the cause of repeated miscarriages. This usually happens when a mother has two miscarriages in succession. It's also used to diagnose diseases like fibroids and polyps, non-cancerous growths in the uterus.