In hysteroscopy an instrument introduced through vagina and cervix to visualize the inside of the womb. It can be either diagnostic (to diagnose the cause leading to infertility) or operative (to treat the condition leading to infertility). There is no cut on the abdomen in hysteroscopy as the instrument is introduced through the natural vaginal opening. It is done under anaesthesia.

Hysteroscopy may be required if the sonography shows that there is any abnormality in the uterine endometrium. The following may be the indications for hysteroscopy:

  • Abnormally thin endometrium, not responding to medications
  • Repeated IVF failures
  • Endometrial polyp
  • Endometrial fibroid polyp / submucous fibroid
  • Endometrial adhesions
  • Septum in the uterus
  • Diagnostic hysteroscopy for abnormal bleeding per vaginum
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