When should hysteroscopy be performed?

If your periods are regular, your surgeon will likely recommend scheduling your hysteroscopy for the first week after you stop bleeding. This timing will allow the best view of the inside of your uterus. If you have irregular menstrual cycles, you may need to work with your surgeon to find the best time for your hysteroscopy. The procedure can take place at any time if you’ve gone through menopause.

Your surgeon will ensure you’re a good candidate for a hysteroscopy, talk you through the procedure and answer any questions you may have. You’ll receive instructions so you’re prepared for your procedure.

Your provider may:

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On the day of the procedure, you’ll be asked to empty your bladder and change into a hospital gown. You may receive anesthesia or a sedative to help you relax. The type of anesthesia you receive depends on whether the hysteroscopy will take place in a hospital or your surgeon’s office and whether other procedures will occur simultaneously.

You’ll be positioned on the exam table with your legs in stirrups. Once you’re in position, your surgeon will:

Perform a pelvic exam.

Dilate (open) your cervix so the hysteroscope can be inserted.

Insert the hysteroscope through your vagina and cervix into your uterus.

Send a liquid solution through the hysteroscope and into your uterus, gently expanding it and clearing any blood or mucus. This step allows your surgeon to view your uterus, uterine lining and fallopian tubes.

Inspect your uterine cavity and the openings of your fallopian tubes. The light from the hysteroscope makes it easier for your surgeon to get a clear view.

Insert surgical instruments through the hysteroscope that can be used to remove any irregular abnormalities (if surgery is needed).

A hysteroscopy can last anywhere from five minutes to more than an hour. The length of the procedure depends on whether it’s diagnostic or operative and whether an additional procedure, such as laparoscopy, is done simultaneously. Diagnostic hysteroscopy usually takes less time than operative.

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If you received anesthesia during your hysteroscopy, you might be observed for several hours in the recovery room. You may have some cramping or light bleeding that lasts for a few days. It’s also not unusual to feel somewhat faint or sick immediately following your procedure.

Hysteroscopy is considered minor surgery and usually doesn’t require an overnight hospital stay. If your provider is concerned about your reaction to anesthesia, you may need to stay overnight.