Hysteroscopy for Abnormal Bleeding

Hysteroscopy is a medical procedure used to look inside the uterus of a female in order to diagnose the cause of abnormal uterine bleeding. The procedure is performed using a thin, light tube called Hysteroscope. A small camera on the tip of the hysteroscope helps the doctor examine the cervix and uterus of the female. Hysteroscope is inserted gently inside the vagina for examination. Hysteroscopy can either be Diagnostic or Therapeutic.

What is Diagnostic Hysteroscopy?

Diagnostic Hysteroscopy is performed with the purpose to examine the inside of the uterus and the cervix. A detailed examination is done by the doctor to diagnose the cause of abnormal uterine bleeding. This procedure may also be performed to confirm the results of other medical tests including Hysterosalpingography or HSG. HSG is an X-Ray dye test which is used to examine the inner of the uterus and fallopian tubes. Diagnostic Hysteroscopy is generally completed in one session with the doctor.

What is Therapeutic Hysteroscopy?

Therapeutic Hysteroscopy is performed to investigate and then treat the abnormality diagnosed during the examination. The only difference that Therapeutic Hysteroscopy and Operative Hysteroscopy have is that upon detection of the problem, the treatment is done immediately after the diagnosis in case of Therapeutic Hysteroscopy. While, in most cases, surgery is required for treatment in case of Operative Hysteroscopy. A small instrument is inserted through the hysteroscope to treat the condition in case of Therapeutic Hysteroscopy.

Causes of Abnormal Uterine Bleeding

Abnormal Uterine Bleeding can be a result of several reasons. AUB may be a result of structural abnormalities linked to the uterus or any other complicated disease or condition. The exact cause of the condition can be diagnosed after a Hysteroscopy. A female may also experience abnormal bleeding in case she is pregnant, which is a normal condition. Other than that, a female may experience AUB in case of conditions mentioned below:

  • Uterus Fibroids
  • Polycystic Ovary Syndrome
  • Ovarian Cysts
  • Anovulation
  • Endometrial Cancer

Who can undergo Hysteroscopy for abnormal bleeding?

menopausal female at gynaecologist for Hysteroscopy

Hysteroscopy is a safe and simple procedure and in most cases. However, if performed on a female below the age of 40, this surgery may have some long term side effects including-premature aging, pelvic floor dysfunction, early menopause, organ prolapse,  painful sex, urinary incontinence or feeling lethargic. 

Choosing hysterectomy is a crucial and emotionally difficult decision. It is important for a female to consider hysterectomy only after the age of 40 and when she has completed her family. A female can no longer have menstrual cycles after periods. As the uterus is removed, a female can also not have babies after hysterectomy. 


In order to avoid any risks the treatment and long term risks, the doctor will examine the patient thoroughly to make sure she is fit and eligible for the treatment. It is a quick and painless procedure and requires no anesthesia. There are no incisions required to perform a Hysteroscopy. In certain cases, the doctor may use local anesthesia to numb the cervix of the female.

When can Hysteroscopy be performed?

The gynecologist generally recommends scheduling Hysteroscopy during the first week of the female’s menstrual cycle. This is the optimum time for the doctor to examine the inner of the uterus and cervix. Although, it can also be performed at any other time to diagnose the cause of abnormal bleeding or spotting in the case of postmenopausal women

Also Read: 

When and Why is Hysteroscopy D&C performed?

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