Hysteroscopy in Moradabad

Introduction

Hysteroscopy passes a thin camera through the vagina and cervix to inspect the inside of the uterus. It may diagnose a problem, take a biopsy or treat selected polyps, fibroids or adhesions without an abdominal incision.

What hysteroscopy is

Saline or another distending medium gently opens the uterine cavity so the lining can be seen. Small instruments can pass through the hysteroscope for biopsy or treatment. Office and operating-theatre procedures differ in scope and anaesthesia.

Symptoms and reasons for hysteroscopy

• Heavy, irregular or postmenopausal bleeding
• Suspected uterine polyp, submucosal fibroid or adhesions
• Investigation of selected infertility or recurrent pregnancy loss
• Removal of a displaced intrauterine device or targeted biopsy

Diagnostic process

Pregnancy must be excluded and infection or bleeding risk reviewed. Ultrasound often comes first. Timing may be chosen for clearer views, and the clinician discusses pain relief, cervical preparation and whether biopsy or treatment is planned.

Available options

Alternatives depend on the question and include pelvic ultrasound, saline-infusion sonography, endometrial biopsy or observation. Hysteroscopy is especially useful when direct visualisation or targeted treatment inside the cavity is needed.

Why laparoscopy may or may not be appropriate

Hysteroscopy views the uterine cavity; laparoscopy views the outside of pelvic organs through abdominal incisions. Laparoscopy is not a substitute, though both may be combined for selected fertility, endometriosis or perforation-risk situations.

Recovery expectations

Most patients go home the same day. Mild cramping and light bleeding or watery discharge can occur for a few days. Return to work is often quick after a simple procedure but varies with anaesthesia and treatment performed.

Risks and limitations

• Pain, bleeding, infection or a vasovagal episode
• Cervical or uterine perforation
• Fluid overload is uncommon but can be serious
• A lesion can be missed or incompletely treated, requiring repeat or alternative care

What happens before hysteroscopy?

Explain bleeding symptoms, possible pregnancy, medicines and previous painful examinations. The team discusses whether an outpatient procedure or an anaesthetised procedure is more suitable. Follow contraception or pregnancy-exclusion instructions and ask about pain relief before the appointment.

Tests commonly required

Pregnancy testing may be needed. Ultrasound or blood count may help when abnormal bleeding is being investigated. Any pre-anaesthetic tests depend on the planned treatment and your health. Ask whether a biopsy is expected and how results will be delivered.

On the procedure day

A thin camera passes through the cervix into the uterus, with fluid used to improve the view. The clinician may take a biopsy or treat an appropriate small lesion after consent. Tell the team if pain is unacceptable; an outpatient procedure can be paused and alternatives discussed.

Diet and returning to normal activity

After an uncomplicated outpatient procedure, normal food is usually possible. Anaesthesia requires its own eating and escort instructions. Temporary cramping or spotting can occur; follow advice on sex, exercise and vaginal products until symptoms settle. Increasing pain, fever or heavy bleeding requires contact.

Cost / Ayushman eligibility

There is no single price that applies to every patient. Consultation, investigations, the treatment or operation, anaesthesia, room category, medicines and the need for ICU or a longer stay can change the estimate. Ask reception for a written estimate after clinical assessment and clarify inclusions, exclusions and follow-up charges.

Anand Hospital lists an Ayushman Card facility. Eligibility, the hospital’s current empanelment for the relevant package, covered treatment and required authorisation must be checked before planned admission. A card alone does not confirm that every test or procedure is covered. Bring your card and identification, and ask the desk to explain any applicable charges.

Frequently asked questions