
What to Expect Before, During, and After a Hysteroscopy

Hysteroscopy is a procedure that allows your practitioner to visually assess your cervix and the interior of your uterus. A minimally invasive approach, hysteroscopy helps your specialist learn more about how your uterus is functioning and determine the source of your symptoms.
Some of the diagnostic uses of hysteroscopy include learning more about:
- Abnormal bleeding
- Pelvic pain
- Infertility
- Uterine fibroids
- Uterine polyps
- Adhesions
- Uterine septums
Hysteroscopy can also be used as part of a treatment path for several different conditions. These include removing uterine fibroids, polyps, and adhesions, as well as removing placental tissue after childbirth or miscarriage.
How to prepare for hysteroscopy
Hysteroscopy is a minimally invasive procedure. Unless your specialist needs to alter or remove tissue during the procedure, no cutting is involved.
Be sure to let your practitioner know about any medications or supplements you’re taking, as well as any health conditions you are currently or have recently been treated for. You may need to pause certain medications (including some over-the-counter drugs) before your visit.
Depending on the reason for your hysteroscopy, it might be best to schedule the procedure for a time when you are not having your period. When you arrive on the day of your procedure, you’ll empty your bladder before changing into an exam gown.
Your specialist determines if any form of anesthesia is necessary, depending on the reason for the hysteroscopy and your specific needs.
What happens during hysteroscopy?
Once you’re resting comfortably on the exam table, your practitioner performs a pelvic exam and then dilates your cervix to allow the hysteroscope to pass through and into your uterus. The device is a thin tube equipped with a light and a camera. The hysteroscope also magnifies the area of focus, helping your specialist see the targeted tissue in great detail.
A liquid or gas can be used to expand the uterus, aiding in the process, and also helps to clear away any blood or mucus that may be present. At this point, your doctor determines if any abnormal tissues need to be removed.
A hysteroscopy can take just a few moments if no abnormalities are detected. Or the process can take an hour or longer if surgical alterations are necessary.
What to expect after a hysteroscopy
For a diagnostic hysteroscopy in which no tissues were altered, the recovery process is straightforward. If you had anesthesia during your procedure, you’ll stay in an observation area until you’re awake and alert.
You might experience cramping or other sensations as your body eliminates the gas or fluid used to expand your uterus. This doesn’t last for long and is not significantly uncomfortable.
If your procedure included fibroid removal, polyp removal, or other tissue alterations, you’ll likely experience some cramping and mild bleeding for a few days after your procedure. Your specialist will explain what to expect and how to respond if you begin to show any signs of infection.
Depending on the degree of surgical alteration needed during your hysteroscopy, you may be advised to avoid sex for a couple of weeks, and to pause using tampons or immersing your body in water (swimming, hot tubs, baths).
Have more questions? We’re here to help
If you have additional questions or concerns about hysteroscopy and how it might align with your needs, don’t hesitate to reach out to Interior Women’s Health to schedule a visit. Karl Baurick, MD, and Doris Heilman, MD, are always happy to meet with patients to find the best possible fit for their needs and goals, and take the time to explain all options in full detail.
You can take advantage of our easy online booking or call our office to find a time that suits your schedule.
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