Hysteroscopy is used to diagnose or treat problems of the uterus. A hysteroscope is a thin, lighted telescope-like device inserted through your vagina into your uterus. The hysteroscope transmits the image of your uterus onto a screen.

One of the most common uses for hysteroscopy is to find the cause of abnormal uterine bleeding. Hysteroscopy also is used in the following situations:

  • Remove adhesions
  • Diagnose the cause of repeated miscarriage
  • Locate an intrauterine device
  • Perform sterilization

What to Expect

Hysteroscopy can be done in the office or at the hospital. It will be scheduled when you are not having your menstrual period. To make the procedure easier, we may open your cervix with medication before your hysteroscopy.

Before the procedure, you may be given a medication to help you relax, or general anesthesia or local anesthesia may be used to block the pain. If you have general anesthesia, you will not be awake during the procedure.

A speculum is inserted into the vagina, and the hysteroscope is then inserted and gently moved through the cervix into your uterus. Carbon dioxide gas or a fluid, such as saline, will be put through the hysteroscope into your uterus to expand it. The gas or fluid helps us see the lining more clearly. If a biopsy or other procedure is done, small instruments will be passed through the hysteroscope.


You should be able to go home shortly after the procedure. If you had general anesthesia, you may need to wait until its effects have worn off.

It is normal to have some mild cramping or a little bloody discharge for a few days after the procedure. You may be given medication to help ease the pain. If you have a fever, chills, or heavy bleeding, call us right away.

Source: American College of Obstetricians and Gynecologists.