Hysteroscopy is a keyhole procedure to examine and treat the inside of the uterus — polyps, fibroids, adhesions (Asherman's syndrome), uterine septum. Performed by Dr. E. Prashanthi Reddy at Mother Hospitals, Boduppal. Day procedure, minimal recovery. Recommended before IVF and for recurrent miscarriage investigation. Call 97059 93366.
Uterine Polyps · Fibroids · Asherman's Syndrome · Uterine Septum · Recurrent Miscarriage · Pre-IVF Evaluation — Day procedure at Mother Hospitals, Boduppal
MBBS · DGO · Diploma in ART, Germany · TGMC Reg: 50624
20+ Years · Founder, Mother Hospitals & IVF Center, Boduppal
A minimally invasive window into the uterine cavity
A hysteroscope is a thin, lighted telescope — about the diameter of a pen — that is gently passed through the vagina and cervix into the uterine cavity. A camera transmits live images to a monitor, giving Dr. E. Prashanthi Reddy a direct, magnified view of the inside of the uterus.
Diagnostic hysteroscopy examines the uterine cavity to identify abnormalities. Operative hysteroscopy uses fine instruments passed alongside the camera to remove polyps, cut adhesions, resect a septum, or take a biopsy — all in the same session, with no external cuts.
Hysteroscopy is considered the gold standard for evaluating the uterine cavity — far more accurate than ultrasound or HSG for detecting small polyps, adhesions, or a thin uterine septum.
All uterine cavity abnormalities diagnosed and treated at Mother Hospitals
Small, soft growths on the uterine lining that cause irregular bleeding, spotting, and impair implantation. Removed under direct vision with a hysteroscopic resectoscope.
Fibroids that bulge into the uterine cavity distorting its shape — the type most likely to affect fertility. Removed hysteroscopically without opening the abdomen.
Scar tissue (adhesions) inside the uterus — usually from previous D&C, miscarriage surgery, or caesarean section. Hysteroscopic adhesiolysis restores the cavity.
A congenital wall of tissue dividing the uterine cavity — associated with recurrent miscarriage. Hysteroscopic septal resection corrects this safely in one session.
Hysteroscopy identifies and treats uterine causes of recurrent pregnancy loss — polyps, septum, adhesions — that may be missed on ultrasound.
Before IVF (especially repeat cycles), hysteroscopy confirms a normal uterine cavity and removes any implantation barriers, improving embryo transfer success rates.
A step-by-step walkthrough of the procedure at Mother Hospitals
Dr. E. Prashanthi Reddy reviews your history, ultrasound scans, and symptoms to determine whether diagnostic or operative hysteroscopy is needed, and the appropriate type of anaesthesia.
Office hysteroscopy requires no fasting. Operative hysteroscopy under general anaesthesia requires fasting from midnight. Cervical softening medication may be given the night before to ease hysteroscope insertion.
You lie in the gynaecology position. The hysteroscope is gently guided through the cervix into the uterine cavity. Saline solution gently expands the cavity for a clear view. Dr. Prashanthi examines all walls, the tubal ostia, and the endometrium — then performs any required treatment.
Most patients rest for 1–2 hours after the procedure. Light spotting or mild cramps for 1–2 days is normal. You can return home the same day and resume normal activity within 24–48 hours. Avoid intercourse for 2 weeks.
A follow-up consultation 2–4 weeks after the procedure reviews findings, confirms healing, and plans next steps — whether that is natural conception, ovulation induction, or an IVF cycle.
Answered by Dr. E. Prashanthi Reddy
What is hysteroscopy?
Hysteroscopy is a minimally invasive procedure where a thin, lighted telescope is passed through the vagina and cervix into the uterine cavity — providing direct visualisation and treatment of uterine abnormalities. No cuts, no stitches, and home the same day.
Is hysteroscopy painful?
Office (diagnostic) hysteroscopy causes mild discomfort similar to period cramps. Operative hysteroscopy for treatment is performed under general or spinal anaesthesia — you feel nothing during the procedure. Post-procedure spotting and mild cramps settle within 1–2 days.
Why is hysteroscopy done before IVF?
Hysteroscopy before IVF — especially after a failed cycle — checks for uterine abnormalities (polyps, adhesions, septum) that prevent embryo implantation. Correcting these can significantly improve the success of the next IVF cycle.
What is Asherman's syndrome?
Intrauterine adhesions (scar tissue) that form inside the uterus — usually after a D&C, myomectomy, or caesarean section. Asherman's syndrome causes infertility, recurrent miscarriage, or absent periods. Hysteroscopic adhesiolysis is the treatment of choice.
How long does hysteroscopy take?
Diagnostic hysteroscopy: 10–20 minutes. Operative (polyp removal, septum resection, adhesiolysis): 20–45 minutes. Total time at the clinic including preparation and recovery: 2–4 hours. Home the same day.
Can hysteroscopy help with recurrent miscarriage?
Yes. Uterine structural abnormalities — especially a uterine septum, polyps, or adhesions — are found in 10–15% of women with recurrent miscarriage. Correcting these hysteroscopically significantly reduces further miscarriage risk.
How soon can I try for pregnancy after hysteroscopy?
After simple diagnostic hysteroscopy or polyp removal: 1–2 menstrual cycles. After adhesiolysis or septum resection: usually 2–3 months to allow full healing of the uterine lining, confirmed by follow-up scan. Dr. E. Prashanthi Reddy advises you on your specific timeline.
Dr. E. Prashanthi Reddy · TGMC Reg: 50624