Diagnostic and operative hysteroscopy is a minimally invasive procedure that allows direct visualization of the uterine cavity for both diagnosis and treatment of various intrauterine conditions. At Dr. Akshata Bhatnagar’s clinic, we provide comprehensive gynaecologic treatment in Gyna Khand 1, using advanced hysteroscopic techniques to manage uterine polyps, septum, misplaced IUCD, intrauterine adhesions (synechiae), fibroids, and perform endometrial biopsies. This approach ensures accurate treatment with minimal discomfort, short recovery, and fertility preservation.

What Is It?

Diagnostic hysteroscopy allows a direct view of the uterine cavity to identify abnormalities causing bleeding, infertility, or recurrent pregnancy loss. Operative hysteroscopy treats these conditions in the same session using small instruments through the hysteroscope. Procedures include:

• Removal of uterine polyps – small growths causing abnormal bleeding or infertility.

• Correction of uterine septum – congenital anomaly associated with recurrent miscarriage.

• Management of misplaced IUCD – safely removing or repositioning intrauterine devices.

• Endometrial biopsy – sampling the uterine lining for evaluation of abnormal bleeding or pathology.

• Removal of synechiae (adhesions) – treating Asherman’s syndrome to restore fertility.

• Resection of submucosal fibroids – removing fibroids within the uterine cavity to relieve symptoms and improve fertility.

Hysteroscopy is safe, precise, and minimally invasive, avoiding the need for open surgery.

Why Does It Happen?

Intrauterine problems occur due to multiple factors:

• Uterine polyps – hormonal imbalance causing overgrowth of the endometrium.

• Uterine septum – congenital abnormality affecting implantation and pregnancy.

• Misplaced IUCD – improper placement during insertion or uterine contraction.

• Synechiae – adhesions forming after miscarriage, infection, or surgery.

• Fibroids – benign uterine growths causing bleeding, pain, or infertility.

• Endometrial issues – irregular lining causing abnormal bleeding or infertility.

Timely hysteroscopic intervention addresses these problems, prevents complications, and preserves fertility.

Age

Hysteroscopy is suitable for women of various age groups:

• Reproductive-age women (20–40 years): For infertility, recurrent miscarriage, or abnormal bleeding.

• Perimenopausal women (40–50 years): For abnormal uterine bleeding or suspected pathology.

• Postmenopausal women (>50 years): For evaluation of bleeding or intrauterine growths.

The procedure is tailored based on uterine condition, reproductive goals, and overall health.

Symptoms

Women who may require hysteroscopy typically present with:

• Abnormal or heavy menstrual bleeding.

• Infertility or recurrent pregnancy loss.

• Pelvic discomfort or pain.

• Misplaced IUCD causing bleeding or pain.

• History of retained tissue, adhesions, or polyps.

Hysteroscopy allows precise diagnosis and simultaneous treatment of these issues.

Importance / Benefits

• Minimally invasive – avoids abdominal incisions and reduces recovery time.

• Direct visualization – accurate diagnosis and treatment of intrauterine abnormalities.

• Fertility preservation – restores uterine function for future conception.

• Short recovery – most patients resume normal activities within 1–2 days.

• Comprehensive management – allows diagnosis and treatment in the same session.

• Reduced complications – lower risk of bleeding, infection, and adhesion formation compared to open surgery.

Treatment

• Diagnostic Hysteroscopy: Identifies polyps, septum, IUCD malposition, adhesions, or fibroids.

• Operative Hysteroscopy:

  • Polypectomy: Removal of uterine polyps.

  • Septum resection: Correction of congenital uterine septum.

  • IUCD retrieval: Safe removal or repositioning.

  • Adhesiolysis: Removal of intrauterine synechiae.

  • Fibroid resection: Removal of submucosal fibroids.

  • Endometrial biopsy: Sampling of uterine lining for pathology.

• Postoperative Care: Mild pain management, early return to activities, and follow-up imaging or examination to ensure complete recovery.

Procedure

1. Preoperative Assessment: Ultrasound, imaging, and evaluation of menstrual history or fertility issues.

2. Anaesthesia: Local, sedation, or general anaesthesia based on complexity.

3. Hysteroscope Insertion: Through the vagina and cervix into the uterine cavity.

4. Diagnosis and Treatment: Identification and treatment of polyps, fibroids, adhesions, septum, or IUCD issues.

5. Completion: Usually takes 15–60 minutes depending on the procedure.

6. Recovery: Minimal downtime; most patients resume normal activities within 1–2 days.

Why Choose Dr. Akshata

Dr. Akshata Bhatnagar provides expert hysteroscopic care with:

• Advanced skills in diagnostic and operative hysteroscopy.

• Minimally invasive techniques ensuring rapid recovery and minimal discomfort.

• Preservation of fertility and uterine health.

• Personalised care and counselling for each patient.

• Safe, effective, and precise treatment of all intrauterine abnormalities.

Choosing Dr. Akshata ensures comprehensive, fertility-preserving, and minimally invasive treatment for uterine problems.

Frequently Asked Questions (FAQs)

1. Is hysteroscopy painful?
Most patients experience minimal discomfort, managed with local anaesthesia or sedation.

2. How long does recovery take?
Recovery is usually 1–2 days, with most women resuming normal activities quickly.

3. Can hysteroscopy help with infertility?
Yes. Removing polyps, fibroids, adhesions, or septum correction improves implantation and fertility outcomes.

4. Are there risks with hysteroscopy?
Risks are low but may include minor bleeding, infection, or rarely uterine perforation. Expert care minimises complications.

5. Can hysteroscopy remove a misplaced IUCD?
Yes. Hysteroscopy is a safe and effective method to locate and remove or reposition a misplaced IUCD.