A Hysteroscopy helps investigate problems inside the uterus, while a Diagnostic Hystero Laparoscopy helps the doctor visualise the area outside the uterus, ovaries and the fallopian tubes. Both are diagnostic as well as operative procedures.

A Hysterposcopy is usually conducted in a sterile area – the operation theatre and is usually done with anaesthesia. The procedure takes about 10 minutes and is a day-care, out-patient procedure.

During the procedure a thin tube (with light source and camera at one end), called a hysteroscope is gently inserted into the uterus. This technique is used for both diagnosis and treatment.

Since it helps visualise the uterine cavity and the fallopian ostea, it helps:

• Investigate the shape and size of the uterus
•  Detect the presence of endometrial lesions
•  Detect the presence of polyps or fibroids
•  Determine the flow of fluid at the ostea

In treatment during an operative hysteroscopy, it can help:

•  Remove small fibroids or polyps found during the procedure
•  Stop abnormal bleeding
•  Remove a blockage in the fallopian tubes by tubal cannulation
•  Remove lesions or scar tissue from the endometrial lining of the uterus

The procedure

•  The procedure may be conducted under general or local anaesthesia.
•   You will be asked to lie on a table, your knees bent and your legs apart.

When you are comfortable, the doctor will begin by inserting a speculum to spread open the walls of the vagina.

•  The doctor will open up the cervix and slowly guide a hysteroscope (a thin device equipped with a camera and light) through the vagina and into your uterus. The camera transmits images of your uterus to a screen.
•  The doctor will then inject gas or fluid to expand the uterus, making it easier to locate abnormal tissue and other issues.

After the procedure

•  The doctor may recommend medication for pain relief.
•  After a brief recovery period, you should be able to return home and resume normal activities within an hour or two.
•  You may experience mild cramping or some bloody discharge for a few days.