Hysteroscopy
Also known as: uterine endoscopy or endoscopic uterine examination
Hysteroscopy is a procedure that involves using a thin, lighted tube called a hysteroscope to inspect the interior of your uterus (womb).
What is a hysteroscopy?
Hysteroscopy is a procedure that involves using a thin, lighted tube called a hysteroscope to inspect the interior of your uterus (womb).
A hysteroscopy can be performed for both diagnostic and operative purposes. In a diagnostic hysteroscopy, the objective is to examine the uterus and confirm a diagnosis. During an operative hysteroscopy, various conditions, including polyps (small tissue growths), fibroids (muscular and fibrous growths), and abnormal bleeding, can be treated. It is crucial to understand that hysteroscopy is not recommended for patients with cervical or endometrial cancer, as these conditions necessitate different management strategies.
What conditions can diagnostic and operative hysteroscopy treat?
Abnormal uterine bleeding: If you suffer from excessive bleeding or abnormal menstrual bleeding (heavy bleeding or bleeding between periods), a hysteroscopy can uncover the cause. Conditions you might be diagnosed with include fibroids, polyps, or endometrial hyperplasia, which is an abnormal thickening of the uterine lining.
Recurrent miscarriages or infertility: If you have had repeated miscarriages or are struggling with infertility, a hysteroscopy can help identify structural abnormalities in the uterus that may be impacting your ability to conceive. This can include adhesions (scarring) known as Asherman’s syndrome, where bands of scar tissue form in the uterus. These can cause changes to your menstrual cycle and impact your ability to conceive.
Uterine Polyps and Fibroids: An operative hysteroscopy is a useful way to remove abnormal growths such as small uterine polyps and fibroids; these can cause unusual vaginal bleeding and sometimes infertility.
Pelvic pain: For those suffering with severe or mild pain in the pelvis, a hysteroscopy can help identify the cause.
Postmenopausal bleeding: Postmenopausal bleeding may signal underlying health concerns.
A diagnostic hysteroscopy is a useful way to investigate symptoms and rule out conditions such as uterine cancer.
A hysteroscopy can also be used to:
- Locate a displaced contraceptive intrauterine device (IUD)
- Remove placental tissue that has remained in the uterus after birth
A diagnostic hysteroscopy is conducted as a day-case procedure, allowing you to return home without needing an overnight hospital stay. Similarly, if you’re undergoing a therapeutic hysteroscopy, you should be able to return home the same day, although you may need to spend a few hours recovering in the hospital afterward.
Benefits of Hysteroscopy
Hysteroscopy offers numerous benefits, making it a valuable tool in diagnosing and treating various uterine conditions. One of the most significant advantages is that it is a minimally invasive procedure, which means it typically involves less pain, and a quicker recovery time compared to traditional surgical methods. The procedure is highly accurate in diagnosing uterine abnormalities, allowing for precise treatment. Another benefit is that many conditions can be treated during the same procedure, reducing the need for multiple surgeries. This can be particularly beneficial for women experiencing abnormal uterine bleeding, as it can provide immediate relief and improve their quality of life. Hysteroscopy also offers enhanced fertility treatment options by addressing issues that may be affecting conception. Additionally, it reduces the risk of complications and the need for a hysterectomy, making it a safer and more effective option for many women.
Hospital fee guide price: £1,270
Procedure price subject to bespoke quotation
*Additional consultant fee not included
Before treatment
At your initial appointment, your gynaecologist will gather a comprehensive medical history and inquire about your symptoms, including their onset, progression, and whether they are new or recurring. A physical examination and often an ultrasound scan will follow.
During the initial appointment, your gynaecologist will also screen for any contraindications, such as cervical or endometrial cancer, to ensure that hysteroscopy is a safe option for you.
Your gynaecologist may suggest a hysteroscopy at this stage to further investigate and confirm a diagnosis or to address issues such as polyps, fibroids, or a misplaced IUD.
Preparing for the procedure
If you choose to proceed with the hysteroscopy, your gynaecologist will arrange for you to undergo some blood tests, and a pregnancy test beforehand. They may recommend you take contraception as the procedure cannot go ahead if you are pregnant.
If you’re scheduled for fibroid removal, you may receive medication to help shrink them beforehand.
If you are undergoing a therapeutic hysteroscopy with sedation, you should refrain from eating for six hours and drinking for two hours before your procedure.
For those having a diagnostic hysteroscopy with local anaesthetic or over-the-counter pain relief, you can eat and drink as usual.
On the day of your hysteroscopy, it’s best to wear loose, comfortable clothing and bring a small bag with essentials for your stay. Consider packing items like a toothbrush and toothpaste, your phone and charger, and any prescription medications or pain relievers you may need after the procedure.
During treatment
The duration of a hysteroscopy typically ranges from 5 to 30 minutes, depending on whether it is being conducted for diagnostic or therapeutic reasons. The clinical environment may seem daunting, but if you feel uneasy, don’t hesitate to inform a nurse or your gynaecologist, who will do their utmost to support and reassure you.
It is important to discuss pain relief options with your healthcare provider prior to the procedure to manage any discomfort you may experience.
First, you’ll change into a hospital gown and be taken to the procedure room, where you’ll lie on a couch with your feet in stirrups. If you’re having a local anaesthetic, your gynaecologist will numb your cervix at this stage. Often, the procedure can be performed without a speculum, but occasionally, it may be necessary to use one to keep the vagina open. The area will be cleaned with an antiseptic solution, and the hysteroscope will be gently inserted into your uterus. If you have a low cervix, you might find this uncomfortable and experience some light cramping. A sterile saline solution will be pumped into the uterus to help the uterine lining be seen more clearly. The camera at the end of the hysteroscope will send images of your uterus to a screen, allowing your gynaecologist to identify any abnormalities. In some instances, small tissue samples may be taken for further testing, known as a biopsy.
If you are undergoing a therapeutic hysteroscopy, the procedure will follow the same initial steps. However, you will receive sedation beforehand, allowing you to sleep through the process. If fibroids or polyps need to be removed, fine surgical instruments will be inserted through the hysteroscope to excise any abnormal tissue. This procedure typically takes a bit longer, approximately 30 minutes.
After treatment
Following the procedure, you’ll be moved to a private room to begin your recovery. If you had a local anaesthetic, you can leave once you feel comfortable and after your gynaecologist has gone over any findings with you. If biopsies were taken, the results will typically be available within a week, so make sure to arrange a follow-up appointment with your doctor to discuss them, whether in person or over the phone.
If you were given sedation, you’ll need a friend or family member to drive you home, as driving is not allowed for 24 hours post-procedure. Ideally, someone should stay with you during this time to ensure you can rest and recover comfortably.
After a hysteroscopy, you may experience:
- Cramping for a few days
- Spotting similar to your menstrual period for one week or more
After a diagnostic hysteroscopy, most women can resume work the following day. However, if you have undergone treatment, you may need to take a few days off to ensure complete recovery.
Appointment and Treatment Plan
Appointment
Based on your previous consultation with a doctor, an appointment will be arranged between you and your gynaecologist.
Treatment plan
During this appointment, you will review your medical history, discuss the details of the surgery and recovery process, and collaboratively decide if this procedure is a suitable option for you.
Pre-op assessment
If surgery is an option, then the surgeon and their team will thoroughly assess whether you’re right for the surgery. They’ll consider your current health, any previous issues, and other external matters.
Surgery
Prior to going through the surgery, our team will ensure that you’re prepped once again. If everything is confirmed, you’ll undergo the surgery and then we’ll explain the aftercare instructions.
Aftercare
If necessary, you’ll stay in a ward for a few hours to ensure that you’re ready to go home after the surgery. However, this may depend on the surgery outcome and whether you need moderate or light assistance.
Follow-Up
You’ll come in a few weeks later and we’ll give you one final check-over to ensure that you’re on track for recovery.
Experts
We are proud to provide patients with access to a wide range of clinicians, chosen specifically for their knowledge and reputation in their area of expertise. Our experts align with our values: putting you at the centre of your care and educating you on your options at each step of the journey. We encourage you to learn more about our clinicians and how they can help you below. As always, please contact our patient services team if you require any additional information.
We offer 3 ways to pay for your treatment
We exist to take the stress out of private healthcare.
Our payment options are designed to offer you easy access to our treatments and services. You can choose to pay on the day, spread the cost, or use your private medical insurance.
Our patient services team will guide you through the process, providing clear costs and support throughout your course of treatment so you can focus on the thing that matters most – your health.
Whether you pay in advance, spread the cost, or use your private medical insurance, rest assured you will be receiving exceptional care 365 days a year.
Pay in Advance
Even if you do not have medical insurance, you can still get quick and comprehensive access to private medical care.
We provide transparent pricing from your initial consultation to the completion of your treatment so you know where your stand, every step of the way.
We accept all major debit and credit cards, as well as Apple Pay for UK residents. Please note that we do not accept cash or cheques.
Pay monthly
Paying for your treatment at OSD Healthcare doesn’t need to mean settling the full cost in one go.
Many of our treatments have a pay monthly option that allows you to spread the cost of your treatment over 12 months with no credit checks required.
A minimum spend of £300 does apply. We’ll take your first payment upfront and then arrange a direct debit for your monthly payments thereafter. It’s that simple.
Pay using PMI
We are recognised by all major health insurance companies and with our extensive range of services, there are lots of benefits to using your insurance with us. Our patient services team is here to answer any questions you may have about using your private health insurance with us.
Please bring along your policy details including your scheme details, membership or policy number, expiry date and confirmation of eligibility to claim (i.e. your authorisation number). If you do not have these details with you, we will require payment from you on the day. Patients are liable for any amounts not settled by their insurer.
Hospital fee guide price: £1,270
Procedure price subject to bespoke quotation
*Additional consultant fee not included
FAQs
While hysteroscopy is generally a safe and minimally invasive procedure, it is not without potential risks and complications. One of the primary concerns is infection, which can occur if bacteria enter the uterus during the procedure. Bleeding is another possible complication, especially if the procedure involves removing abnormal tissue. There is also a risk of damage to the cervix or uterus, which could lead to further complications. Reactions to anaesthesia, although rare, can occur and should be discussed with your healthcare provider beforehand. Uterine perforation, where a hole is accidentally made in the uterus, is a serious but uncommon risk. Fluid overload, embolism, and cerebral edema are other rare but potential complications. It is essential to discuss these risks with your healthcare provider to make an informed decision about undergoing a hysteroscopy.
Hysteroscopy holds significant clinical value in both diagnosing and treating uterine abnormalities. It provides a direct view of the uterine cavity, enabling the identification and removal of abnormal tissue, such as polyps or fibroids. This capability is particularly beneficial for women experiencing abnormal uterine bleeding, as it allows for precise treatment and immediate relief. Additionally, hysteroscopy can diagnose and manage conditions like endometrial hyperplasia and adenomyosis, which involve the thickening of the uterine lining and the presence of endometrial tissue within the uterine muscle, respectively. By addressing these issues, hysteroscopy enhances the overall reproductive health and quality of life for many women.
While hysteroscopy is a highly effective procedure, there are alternative methods for evaluating and treating uterine conditions. Ultrasound is a non-invasive option that uses high-frequency sound waves to create images of the uterus and ovaries, helping to identify abnormalities. MRI, or magnetic resonance imaging, employs magnetic fields and radio waves to produce detailed images of the reproductive organs, offering another non-invasive diagnostic tool. Laparoscopy, a more invasive procedure, involves inserting a thin tube with a camera and light through the abdominal wall to visualize the reproductive organs. Although these alternatives can provide valuable insights, they may not offer the same level of detail and therapeutic capabilities as hysteroscopy. Discussing these options with your healthcare provider can help determine the most appropriate approach for your specific condition.