Hysteroscopy Procedure
A Complete Guide for Infertility
Infertility and recurrent miscarriages are often linked to issues inside the uterus that routine scans cannot fully detect. Even minor abnormalities such as polyps, fibroids, or adhesions can prevent embryos from implanting or cause early miscarriages. The hysteroscopy procedure is a safe, minimally invasive technique that allows doctors to directly visualise the uterine cavity and correct such problems.
At Excel IVF, IVF Cnetre in Delhi, under the expertise of Dr. Rhythm Gupta, hysteroscopy is used both as a diagnostic and therapeutic tool. It has helped hundreds of women restore uterine health, improve conception chances, and achieve higher IVF success rates.
What Is the Hysteroscopy Procedure for Infertility?
The hysteroscopy procedure for infertility involves inserting a thin telescope-like device, called a hysteroscope, through the cervix into the uterine cavity. This allows doctors to see inside the uterus with precision, detect abnormalities, and, if necessary, treat them during the same procedure.
Types of Hysteroscopy
- Diagnostic Hysteroscopy: Performed to look for abnormalities such as uterine septum, adhesions, fibroids, or polyps. Usually takes about 15 minutes.
- Operative Hysteroscopy: Conducted when an abnormality is detected. Fibroids, polyps, or adhesions are removed immediately using surgical instruments passed through the hysteroscope.
Why It Is Preferred
- No external abdominal cuts.
- Quick recovery, usually same-day discharge.
- Accurate diagnosis and immediate treatment in the same sitting.
When Is Hysteroscopy Recommended in Infertility?
Doctors recommend hysteroscopy when infertility remains unexplained or when specific uterine issues are suspected.
Common Indications
- Recurrent IVF Failures: When embryos fail to implant despite being healthy, hidden uterine abnormalities may be the cause.
- Recurrent Miscarriages: Structural problems like septum or adhesions often lead to repeated pregnancy loss.
- Heavy or Irregular Bleeding: Suggests the presence of polyps, fibroids, or lining issues.
- Abnormal Ultrasound Findings: Suspicious areas detected on ultrasound require confirmation via hysteroscopy.
Step-by-Step Hysteroscopy Procedure
Understanding the procedure helps reduce anxiety and prepare better.
1- Pre-procedure Preparation
- Patients may be asked to fast for 6–8 hours if anaesthesia is planned.
- Basic blood tests and a pelvic ultrasound are performed beforehand.
- The procedure is usually scheduled soon after menstruation, when the uterine lining is thin.
2- Anaesthesia
- Diagnostic hysteroscopy is often done under local or mild sedation.
- Operative hysteroscopy requires general or regional anaesthesia for comfort.
3- Insertion of the Hysteroscope
- The hysteroscope is gently passed through the vagina and cervix into the uterine cavity.
- Saline or carbon dioxide is used to expand the uterus for better visibility.
4- Examination of the Uterus
- The camera projects images onto a screen, allowing a clear view of the endometrium.
- Fibroids, polyps, septum, or adhesions can be identified.
5- Operative Treatment (if required)
- Small surgical instruments are passed through the hysteroscope.
- Abnormal tissue is cut, cauterised, or removed with precision.
6- Completion and Recovery
- The patient is observed for a few hours and discharged the same day.
- Recovery instructions are provided before leaving.
Hysteroscopy for Uterine Polyps and Fibroids
Polyps and fibroids are common causes of infertility and abnormal bleeding.
Uterine Polyps
- Soft tissue growths in the endometrial lining.
- May cause spotting, heavy periods, or infertility.
- Hysteroscopy for uterine polyps ensures complete and safe removal.
Uterine Fibroids
- Benign muscular growths in the uterus.
- Submucosal fibroids distort the uterine cavity and reduce implantation chances.
- Operative hysteroscopy in Delhi allows precise fibroid removal while preserving the uterus.
Hysteroscopy for Recurrent Miscarriages
Repeated pregnancy losses often point to structural issues in the uterus.
- Uterine Septum: A wall dividing the uterine cavity, often causing miscarriage.
- Adhesions (Asherman’s Syndrome): Scar tissue preventing normal embryo growth.
- Submucosal Fibroids or Large Polyps: Occupy space and interfere with implantation.
Correcting these problems through the hysteroscopy procedure significantly reduces miscarriage risk and improves live birth outcomes.
Cost of Hysteroscopy Procedure in Delhi
The cost of a hysteroscopy procedure in Delhi depends on whether it is diagnostic or operative, the hospital facilities, and the complexity of treatment.
- Diagnostic Hysteroscopy: ₹20,000 – ₹40,000
- Operative Hysteroscopy: ₹50,000 – ₹90,000
- Additional Costs: Anaesthesia, hospital stay (if required), and medications.
At Excel IVF, costs are transparent, and packages are designed to be affordable for patients seeking hysteroscopy treatment in Delhi.
Recovery After Hysteroscopy Procedure
Recovery is quick, but following post-care instructions is crucial.
Recovery Timeline
- Routine activities: within 1–2 days.
- Mild spotting or cramps: common for 2–3 days.
- Intercourse and swimming: avoid for 1 week.
- IVF or pregnancy planning: usually after one menstrual cycle.
Post-Procedure Care
- Painkillers may be prescribed for cramps.
- Report unusual symptoms like fever or heavy bleeding.
- Rest and hydration aid faster healing.
Success Rate of Hysteroscopy Procedure in Delhi
The hysteroscopy procedure success rate in Delhi is high, particularly in women with unexplained infertility or repeated IVF failures.
- IVF success improves by 20–30% after hysteroscopy.
- Removal of fibroids and polyps restores uterine receptivity.
- Correcting adhesions or the septum reduces miscarriage risk.
Risks of Hysteroscopy for Infertility
Though generally safe, hysteroscopy carries minor risks.
- Uterine infection or pelvic infection
- Uterine perforation (rare, especially in expert hands)
- Bleeding or spotting beyond a week
- Reaction to anaesthesia
Choosing the best hysteroscopy doctor in Delhi minimises risks and ensures safe recovery.
Hysteroscopy vs Laparoscopy – Which Is Better?
Both hysteroscopy and laparoscopy play unique roles in infertility care.
- Hysteroscopy: Examines and treats the inside of the uterus (polyps, fibroids, septum).
- Laparoscopy: Examines the ovaries, tubes, and pelvic cavity.
- Combined Approach: In cases of unexplained infertility, doctors may recommend both for a complete evaluation.
Explore Your Options Here:
- Female Fertility Tests in Delhi
- Male Fertility Tests in Delhi
- Laparoscopy for Infertility in Delhi
- Natural Pregnancy in Delhi
Call +91-8920963596
FAQs on Hysteroscopy Procedure
The hysteroscopy procedure uses a thin camera to view the uterine cavity directly. It detects issues such as fibroids, polyps, septum, and adhesions that block fertility. Unlike laparoscopy, it requires no abdominal cuts. It is quick, minimally invasive, and often done as a day-care procedure.
No. The procedure is usually performed under anaesthesia, ensuring patients feel no pain. Mild cramping or spotting afterwards is common but temporary. Most women return to normal activities within 1–2 days.
Yes. By removing polyps, fibroids, or adhesions, hysteroscopy improves embryo implantation and raises IVF success rates by up to 30%. This is why many doctors recommend hysteroscopy before IVF.
Recovery is usually smooth. Most women resume work in 1–2 days. However, doctors advise waiting for one menstrual cycle before attempting conception or IVF for optimal results.
The cost of a hysteroscopy procedure in Delhi ranges from ₹20,000 for diagnostic procedures to ₹90,000 for operative ones. Excel IVF provides affordable packages with clear breakdowns, avoiding hidden charges.
It is recommended in cases of repeated IVF failure, recurrent miscarriages, abnormal uterine bleeding, or suspicious ultrasound findings. It provides both diagnosis and treatment in one sitting.
Yes. Hysteroscopy is considered safe and is often recommended for women planning pregnancy. By correcting uterine problems it enhances the chances of conception and reduces miscarriage risk.
