What Is It?
Operative Hysteroscopy is a minimally invasive surgical procedure used to treat problems inside the uterus (womb) using a thin, lighted camera called a hysteroscope.
It is performed through the vagina and cervix, meaning no cuts or stitches are needed. This technique allows doctors to both see and treat uterine conditions in the same procedure.
When Is It Needed?
Operative hysteroscopy may be recommended to treat:
- Uterine fibroids (submucosal)
- Endometrial polyps
- Intrauterine adhesions (Asherman’s syndrome)
- Uterine septum (congenital defect)
- Heavy or irregular menstrual bleeding
- Retained products after miscarriage or delivery
- Infertility evaluation/treatment if uterine factors are suspected
How Is It Performed?
- A thin camera (hysteroscope) is passed through the vagina and cervix into the uterus.
- A fluid (usually saline) is used to gently expand the uterus for clear viewing.
- Tiny instruments are inserted through the hysteroscope to remove growths, cut adhesions, or reshape the uterus as needed.
- The procedure is done under local, regional, or general anaesthesia, depending on the case.
No abdominal cuts are made, and most women go home the same day.
Benefits of Operative Hysteroscopy
- No incisions — performed through the natural vaginal route
- Quick recovery — back to daily activities in 1–2 days
- Can diagnose and treat issues in a single sitting
- Fertility-preserving — especially helpful for women trying to conceive
- Shorter hospital stay or outpatient basis
- Lower risk compared to open surgery
Recovery & Aftercare
- Mild cramping or spotting for 1–2 days is normal
- You may be advised to avoid intercourse or tampon use for a few days
- Light activity is fine; avoid heavy lifting for 1–2 days
- You may be given hormonal medication to support healing (in some cases)
Fertility & Reproductive Benefits
Operative hysteroscopy can improve fertility by:
- Removing fibroids or polyps that prevent implantation
- Opening the uterine cavity if blocked by adhesions
- Correcting congenital defects like a uterine septum
It is often part of fertility evaluations or treatments when uterine abnormalities are suspected.