Hysteroscopy

What is hysteroscopy?

Hysteroscopy — is a modern method of diagnosis and treatment that allows a doctor to examine the uterine cavity using a special instrument — a hysteroscope. It is equipped with a video camera and working instruments and is inserted through the vagina and cervix.

The images from the camera are transmitted to a monitor, allowing for a highly accurate assessment of the condition of the uterine cavity, identification of changes, and if necessary, collection of material for analysis. This is a visually controlled procedure that combines precision and safety.

Hysteroscopy — not only provides accurate diagnosis, but also the opportunity to resolve problems affecting a woman's health and quality of life without pain. Our goal is to make it as safe and effective as possible for every patient.
Olena Samokhvalova, gynecologist-oncologist, head of the gynecological department of the inpatient clinic

Why is hysteroscopy needed?

Hysteroscopy is indicated when there is a need to detect or eliminate changes that may affect women's health and reproductive function.

Main indications for the procedure:

• polyps and fibroid nodes;
• intrauterine adhesions/synechiae (Asherman's syndrome);
• congenital abnormalities, including uterine septum;
• remnants of placental tissue after childbirth or abortion;
• recurrent miscarriages or infertility;
• menstrual disorders: excessive, irregular, or menopausal bleeding;
• removal of a displaced intrauterine device.

Diagnostic hysteroscopy

Used to clarify the causes of abnormal uterine bleeding, to specify ultrasound results, to assess the condition of the endometrium, and if necessary, to take a biopsy. It is most commonly used in women who have not yet given birth.

Therapeutic hysteroscopy

Allows for the immediate removal of identified pathologies: polyps, fibroids, intrauterine adhesions or septa.

The service packages "Therapeutic hysteroscopy" and "Diagnostic hysteroscopy" include a complete range: examination before the procedure, consultations, conducting the procedure, anesthesia, medications, stay in the hospital, and follow-up after the procedure.

You can find out the conditions at this link

Stages of Hysteroscopy

Planning and Preparation

• The doctor during the consultation determines the indications for the procedure and refers you to the hospitalization department.
• The hospitalization department manager assists you in choosing the optimal date for the operation (considering the menstrual cycle), scheduling a preoperative consultation with the anesthesiologist and necessary examinations, as well as coordinating the preparation for hospitalization.
• A few days before the operation, you undergo an examination by a doctor, a consultation with the anesthesiologist, and submit the required tests to ensure the safety of the procedure.

Conducting the Procedure

• On the day of hospitalization, you will be greeted, taken to your room, and assisted in preparing.
• A nurse will accompany you to the operating room, where you will meet the anesthesiologist.
• After anesthesia is administered, the procedure begins; the gynecologist examines the uterus cavity and, if necessary, performs treatment immediately.
• Duration: from 15 minutes (diagnosis) to 1 hour (surgical intervention).

Recovery and Support After the Procedure

• After the procedure, you will rest in a single room under the supervision of a doctor and a nurse.
• Upon discharge, you will receive recommendations for recovery and a follow-up visit.
• After discharge, support is available: support department, a 24-hour call center, and an on-call gynecologist 24/7.

You can familiarize yourself with the conditions in the Dobrobut inpatient facility at this link.

Why Choose Surgical Gynecology at “Dobrobut”

Comprehensive Approach to Women's Health

A full cycle of care: from a gynecological consultation, diagnosis, and determination of treatment tactics to surgical intervention and subsequent monitoring and rehabilitation. You undergo all stages in one clinic under the guidance of an experienced team – without unnecessary waiting or redirection.

Urgent Examination Based at the Clinic

Modern diagnostic methods are concentrated in one place: laboratory, X-ray, CT, MRI. An additional advantage is intraoperative histology – the ability to obtain research results during the operation and immediately make the right decision regarding further treatment.

Availability 24/7

The 24-hour surgical service ensures prompt response to emergency situations. If the situation requires urgent intervention, the team is ready to perform the operation in the shortest time possible without delaying treatment.

Frequently Asked Questions

Is hysteroscopy a serious procedure?

Operative hysteroscopy is considered a minimally invasive intervention, meaning recovery is quicker compared to traditional open surgeries. In most cases, an overnight hospital stay is not required. The procedure is performed without incisions, through natural pathways, and leaves no scars, making it safe and comfortable for the patient.

What sensations to expect during hysteroscopy?

Before the procedure, your doctor will explain in detail how it will be performed, what steps will be taken, and what you may feel.

In most cases, there is no pain, as the patient is under sedation or another type of anesthesia.

After the procedure, mild cramps or slight bleeding may occur for a few days — this is a normal response of the body and should not cause concern.

Should you worry before hysteroscopy?

No, hysteroscopy is a safe procedure performed worldwide as a standard practice. Complications occur very rarely — in less than 1% of cases. At the "Dobrobut" clinic, international safety protocols are always followed to ensure the procedure is as safe and comfortable as possible for the patient.

How to prepare for hysteroscopy?

For your safety and a comfortable course of the procedure, it is essential to follow several simple but critically important recommendations:

1. Hygiene — shower, no shaving

• Take a shower twice: the evening before the procedure and in the morning on the day of the operation, using regular soap.
• Do not use lotions, creams, or deodorants before the procedure.
• Do not shave the areas around — this may increase the risk of irritation or infection.

2. Clothing and comfort

• Wear loose, comfortable clothing.
• Avoid jewelry and perfumes.
• Choose underwear that will be comfortable after the procedure.

3. Medications and tests

• Inform your doctor of all medications, vitamins, or supplements you are taking.
• Some medications may affect blood clotting or anesthesia — the doctor will provide specific instructions regarding their intake.

4. Eating and drinking before the procedure

• It is usually recommended to refrain from eating for 6–8 hours before the procedure.
• Limit water or other fluids for 2–4 hours before the intervention.
• You will receive specific recommendations from the anesthesiologist.

5. What to bring to the clinic

• Passport or ID (insurance policy if you are insured);
• Phone, charger, book, or gadget for comfortable rest after the operation.

Why is this important?

Following these recommendations helps reduce risks, ensures maximum sterility, comfort, and safety. Proper preparation makes the procedure easier and recovery faster.

What type of anesthesia will be used?

The type of anesthesia is selected individually — depending on the indications, the scope of the intervention, and your particular characteristics.

Intravenous sedation is most commonly used, which ensures comfort and painlessness. Before the procedure, the anesthesiologist will explain the possible options in detail and help you choose the best one for you.

When to seek immediate medical attention after the procedure?

After hysteroscopy, you should contact your doctor if you experience:

• severe abdominal pain that does not go away;
• excessive bleeding;
• increased temperature;
• sudden deterioration in well-being.

This will help timely identify any complications and ensure a safe recovery.