Hysteroscopy

What is Hysteroscopy?

Hysteroscopy is a procedure performed under anaesthesia in which a camera is inserted into your uterus through the vagina.

This allows us to visualize the lining of your uterus (endometrium) on an external screen to diagnose and treat any conditions that may affect fertility or menses. They include:

  • Removal of fibroids, polyps, or scar tissues from the endometrium.
  • Correction of congenital abnormalities such as a uterine septum.

Uterine septum correction – Hysteroscopy

A uterine septum is a congenital uterine anomaly where the uterine cavity is partitioned by a longitudinal membrane at the middle. It can be associated with infertility and increased risks of miscarriages and preterm births.

​Women with uterine septum are treated through hysteroscopy where special instruments are used to correct the abnormality.

Study Title: Management of complete vagino-uterine septum in patients seeking fertility

  • Uterine septum correction with scissors during hysteroscopy.

Asherman’s syndrome treatment- Hysteroscopic Adhesiolysis

Asherman’s syndrome is the formation of scar tissue in the uterine cavity due to previous surgeries or infections.

Symptoms may include lighter menstrual flow, subfertility and recurrent pregnancy loss. Women can be treated through hysteroscopy where special instruments are used to correct the abnormality. The patient then undergoes hormone therapy for several weeks to rebuild the normal endometrial layer.

Study Title: Clinical and Reproductive Outcomes Following Hysteroscopic Adhesiolysis for Asherman’s Syndrome

  • Uterine scar correction with scissors during hysteroscopy.

Uterine Polyp Removal – Hysteroscopic Polypectomy

Uterine polyps are growths in the inner lining of the uterus that protrude into the uterine cavity. They are also known as endometrial polyps and can range in size and number. Most uterine polyps are benign and asymptomatic. In certain cases, they may present with abnormal bleeding or infertility. Smaller polyps may regress on its own, however, larger ones may require treatment (hysteroscopic polypectomy) to remove the polyps.

  • Resection of uterine polyp using hysteroscopic electrosurgical loop.

Submucous Fibroid Removal – Hysteroscopic Myomectomy

Uterine fibroids are growths in the uterus. Depending on the size and location of the fibroid(s), it may increase the risk of miscarriage or complications during your pregnancy. In hysteroscopic myomectomy, the doctor uses a device to resect the fibroids. The fibroid pieces are then washed out with fluid.

  • Fibroid removal using a hysteroscopic electrosurgical loop.