A hysteroscopy is a procedure to examine the inner lining of the uterus. It is performed using a long thin telescope, either 3 or 5 mm in diameter, that is passed through the opening of the cervix into the uterine cavity. No cutting or incisions are required. The images of the cervical channel and the uterine cavity are then displayed on a television monitor.

The hysteroscopy is commonly used to assess the lining of the uterine cavity in the event of the following :

Abnormal or heavy bleeding


Bleeding in the menopausal period

Polyps found on ultra-sound ( a polyp is a small piece of tissue on a stalk, often found by ultra-sound when investigating abnormal bleeding or fertility.

Removal of uterine septa – bands found crossing the uterine cavity

Pelvic pain or discomfort

Recurrent miscarriage – repeated pregnancy loss

At the same time as a hysteroscopy, a biopsy of the lining of the uterine cavity is always taken. This is called a curette and is sometimes referred to as a clean – out or DD & C. If polyps or uterine septa are present, they can be removed at the same time, which is usually a simple procedure.

Hysteroscopy is performed in hospital as a day procedure. This means that you are able to go home shortly after the procedure. It involves a general anaesthetic and you will be asleep will the operation/procedure is performed.

After the procedure, most patients will feel a little groggy from the anaesthetic and this may last for a few hours. Due to the fact that you received a general anaesthetic you will need to ask a friend or family member to drive you home. Some patients have light bleeding for a few days. Crampy period pain can be present immediately after the operation, but normally resolves with Panado and Neurofen tablets. It is not normal to have persistant pain after a few days and if you are concerned please contact the rooms immediately.