Hysteroscopy is the use of a telescope that is inserted through the vagina and cervix into the uterus without incision to see the uterine cavity.

It helps determine:

  • The size and depth of the uterine cavity, the presence of congenital abnormalities within the uterus, such as a septum that divides the inside of the uterus, or a double uterus
  • The presence of polyps or fibroids in the uterine cavity and resecting them if possible
  • Whether specific abnormalities of the endometrium (lining of the uterus) are present, e.g. 
hyperplasia (build-up the lining of the uterus), or cell changes that indicate inflammation.

How is the Procedure Done?

  • The procedure is performed with the woman lying on her back with her legs apart, using a speculum (the instrument used for a cervical smear)
  • The telescope is passed through the cervix and a liquid is injected to distend the uterine cavity a little so that it is possible to see.
  • Occasionally a small piece of tissue (biopsy) is taken from the endometrium (lining of the womb) after the hysteroscopy is finished.