Hysteroscopy - fertility diagnosis

CREATE Fertility offers Hysteroscopy performed by our highly skilled consultants. This is a method of diagnosis and treatment using a telescope camera. The camera is passed into the uterus in order to look for conditions such as polyps, fibroids and scarring inside the uterus. Under certain circumstances doctors may be able to treat conditions at the same time as they are carrying out investigations.

Why perform a Hysteroscopy?

Hysteroscopy is used to diagnose potential problems with a woman’s womb, or to treat them if they are known.

Conditions that may be investigated with Hysteroscopy are:

  • Infertility
  • Recurrent miscarriage
  • Heavy and irregular bleeding

Conditions that can be treated with Hysteroscopy include:

  • Fibroids
  • Polyps
  • Scarring
  • Thickening of the uterus lining

What is the process for a Hysteroscopy?

Preparing for the Hysteroscopy

You should take a day off work to undergo the procedure, particularly if you plan to undergo the hysteroscopy under sedation. The hysteroscopy should not be performed while you are menstruating because this would compromise the images. It can be performed on any other day of the cycle. The hysteroscopy can be performed with or without sedation, as you prefer. Patients undergoing the procedure without sedation are advised to take painkillers around an hour beforehand, while patients using sedation are required to stop eating and drinking 6 hours prior to coming in.

The day of the procedure

The hysteroscopy will be carried out in theatre. If you have asked for sedation, this will be arranged for the procedure. The doctor may use a speculum to open the walls of the vagina, similarly to a smear test, if this is required. They will pass the hysteroscope, a telescope camera, through the cervix and into the womb. Water will also be used to inflate the womb and make it easier to visualise. The doctor will use the camera to take some photos of the uterus. If necessary, they will also perform any biopsy or treatment that is required, using instruments that will also be inserted through the vagina. The whole procedure should take no more than 30 minutes.

After the procedure

After recovering in the clinic for an hour or so you will be able to go home. You may experience some mild symptoms such as cramping similar to menstrual cramps; these should pass within a day or two. The results of the hysteroscopy will be fully explained by your doctor, and a written report provided.

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Dr Spyridon Chouliaras
Consultant in Reproductive Medicine & Hysteroscopy Lead

Dr Spyridon Chouliaras

MD, MRCOG, DFFP Dr Chouliaras is a Consultant in Gynaecology, Reproductive Medicine and surgery. He is also our Lead of Hysteroscopy at our St Paul's fertility clinic. He qualified i....