Diagnostic Hysteroscopy is a procedure that allows direct visualisation of the cervix, uterine cavity, uterine lining (endometrium) and the end of the fallopian tubes using an endoscopic instrument - a hysteroscope.
Introduction of the hysteroscope through the cervix into the uterine cavity, enables the evaluation of the uterine cavity.
Can be performed without anesthesia as an outpatient procedure, without prior medication or time off work afterwards.
The purpose of the procedure is to confirm whether the conditions in the uterine cavity are normal, which is the basic prerequisite for a successful implantation of an embryo. If there are any abnormal findings, these should be treated before continuing with any further fertility treatment. A diagnostic hysteroscopy could be suggested to a patient, for example, after repeated unsuccessful embryo transfers.
The procedure consists of introducing a hysteroscope through the cervix into the uterine cavity, which is then filled with a solution, which enables the evaluation of the uterine cavity.
In the event of a normal finding, the procedure is then completed and the duration of the procedure is up to 10 minutes.
The examination can be performed without anaesthesia, under sedation with Entonox (gas and air), or under short general anaesthesia. The procedure is performed on an outpatient basis, without any need for medication prior to it nor time off work afterwards.
Operative hysteroscopy is recommended if there are abnormal findings in the uterine cavity. This is most commonly for the removal of a uterine polyp, the removal of an intrauterine myoma, the treatment of adhesions, the disruption of the uterine septum, etc. Sometimes the endometrium is abraded ("scraped") with a curette. The obtained sample is always sent for histological investigation. Duration of the procedure is approx. 15-30 minutes. It is performed on an outpatient basis under short general anaesthesia.
Are you interested in more details about this procedure? Do you have any questions? Do not hesitate to contact us, we will be happy to help you!
Led by Dr Milan Mrázek, a fertility specialist of nearly four decades’ experience, and an ESHRE-certified head of embryology, our family-owned clinic comprises a close-knit group of seasoned professionals. From doctors and embryologists to nurses and coordinators, we take a person-centred, caring approach to helping you and your partner conceive.
