Diagnostic Hysteroscopy

• Diagnostic Hysteroscopy

  Diagnostic hysteroscopy is a minimally invasive procedure used to directly visualize the inside of the uterus (uterine cavity). It helps in identifying abnormalities that may not be clearly detected on ultrasound.

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  Purpose of Diagnostic Hysteroscopy

  It is performed to evaluate:

• Abnormal uterine bleeding
• Infertility
• Recurrent pregnancy loss
• Suspected uterine abnormalities (septum, polyps, fibroids)
• Unexplained findings on ultrasound

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  How the Procedure is Done

• A thin, lighted instrument (hysteroscope) is gently inserted through the vagina and cervix
• The uterine cavity is distended using normal saline
• The doctor directly visualizes the uterine lining on a screen
• Usually performed as an OPD or day-care procedure

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  Duration

• Typically takes 15-20 minutes

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  Anesthesia

• Often done without anesthesia or with minimal analgesia
• In some cases, short anesthesia may be used

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  Advantages

• No cuts or stitches
• Direct and accurate diagnosis
• Quick procedure with minimal discomfort
• Can guide further treatment planning

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  What Conditions Can Be Detected

• Uterine polyps
• Submucous fibroids
• Uterine septum or congenital anomalies
• Adhesions (Asherman’s syndrome)
• Endometrial abnormalities

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  After the Procedure

• Mild cramping or spotting for a short duration
• Most patients can resume normal activities the same day

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  When to Consider Diagnostic Hysteroscopy

• Persistent abnormal bleeding
• Difficulty in conceiving
• Repeated IVF failure
• Suspicion of intrauterine pathology

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  Conclusion

  Diagnostic hysteroscopy is a safe, quick, and highly effective method for evaluating uterine conditions, helping in accurate diagnosis and better treatment outcomes.