For diagnostic purposes, the hysteroscopy can be performed in your doctor’s office with local anesthesia. Small polyps also can be removed through this procedure. But, when the hysteroscopy is done in conjunction with a more in-depth surgical procedure, it is done in a hospital under a local or general anesthesia.
Your doctor will first open the cervix with a device called a speculum. The doctor will then insert the hysteroscope through your vaginal opening and continue inserting it through the cervix and then into your uterus. A liquid or carbon dioxide gas will then be gently passed into your uterus to clear the surface and to help widen it slightly.
The light and camera at the end of the hysteroscope will allow the doctor to see the uterus and fallopian tubes. This allows them to diagnose any issues or to perform any surgical procedures necessary. If the procedure is being done for surgery, the surgical instruments will also be put through the hysteroscope tube to perform the surgery.
The process shouldn’t be painful. However, you may get some cramping during the procedure. Your doctor may give you some sedative to make you relaxed.