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Diagnostic hysteroscopy examines the inside of the uterus with a thin camera to detect polyps, adhesions, septum, fibroids or lining problems.
At Galwa Care Hospital, it is used when infertility, miscarriages, abnormal bleeding or failed IVF cycles need clearer uterine assessment.
The procedure provides precise diagnosis and may allow correction of selected findings during the same sitting.
Women with heavy, prolonged, irregular, or unpredictable periods without a confirmed cause, and any woman with vaginal bleeding after menopause, require prompt and direct uterine investigation. Hysteroscopy provides the definitive visual answer that imaging alone cannot reliably deliver.
When ultrasound suggests a uterine polyp or submucosal fibroid projecting into the uterine cavity, hysteroscopy directly confirms its presence, characterises its size and location, and allows surgical removal in the same sitting where clinically appropriate.
When repeated pregnancy loss or unexplained infertility raises the suspicion of a structural uterine cause, hysteroscopy directly identifies uterine septum, intrauterine adhesions, polyps, or other cavity abnormalities that are silently contributing to implantation failure or early pregnancy loss.
The diagnosis and extent assessment of intrauterine adhesions (Asherman’s syndrome) and congenital uterine anomalies including uterine septum require direct hysteroscopic examination for the most accurate characterisation before any surgical correction is planned.
Persistent or cyclical pelvic pain and spotting between regular periods that standard investigations have not fully explained require direct uterine assessment to identify or exclude intrauterine pathology as a contributing cause.
When ultrasound or hysterosalpingography raises a concern or suspicion about the uterine cavity or endometrial lining, hysteroscopy provides the direct visual confirmation or definitive exclusion of pathology that imaging-based assessment alone cannot reliably provide.
A thorough pre-procedure consultation reviews your complete medical history, current symptoms, previous investigations, and medications. The procedure is ideally scheduled between Day 6 and Day 12 of the menstrual cycle, when the endometrial lining is thinnest and the uterine cavity most clearly visible for comprehensive examination.
Depending on your individual comfort level and clinical requirements, the procedure is performed under local anaesthesia, mild sedation, or short general anaesthesia. The choice of anaesthesia is always discussed and agreed upon with you in advance, never decided without your full input and consent.
The cervix is gently and carefully dilated to allow smooth, comfortable passage of the hysteroscope into the uterine cavity. A cervical softening medication may be administered beforehand where needed, particularly for women who have not had a previous vaginal delivery.
The hysteroscope is introduced gently through the vagina and cervix into the uterine cavity in a carefully controlled manner with no external cut, incision, or stitch at any point. The procedure is entirely internal, leaves no visible marks on the body, and is designed to cause the minimum possible discomfort throughout.
A sterile saline solution or carbon dioxide gas is carefully introduced through the hysteroscope to gently expand the uterine cavity, creating the clear, unobstructed internal space that allows the specialist to examine every surface of the uterine interior systematically and thoroughly.
The specialist performs a complete, methodical examination of the entire uterine cavity including the front wall, back wall, lateral walls, the fundus, both tubal ostia, and the full endometrial lining on a high-definition monitor. Every abnormality is directly observed, documented, and assessed in real time.
If the endometrial lining appears thickened, irregular, or otherwise abnormal, a targeted tissue biopsy is taken through the hysteroscope during the same procedure. The procedure is typically completed within 10 to 30 minutes and most patients are discharged the same day, returning to light activities within 24 to 48 hours.

The only procedure that sees inside the uterus directly, completely, and in real time, providing a level of diagnostic certainty and anatomical detail that ultrasound, MRI, and HSG are fundamentally incapable of delivering.

Uterine polyps, small submucosal fibroids, intrauterine adhesions, uterine septum, and early endometrial abnormalities are frequently invisible or undercharacterised on standard imaging, but are clearly identified and accurately assessed through hysteroscopy.

The procedure is performed entirely through the natural vaginal and cervical pathway with absolutely no external cuts, stitches, or visible scarring, making it one of the most body-sparing investigative procedures available in modern gynaecology.

When a treatable abnormality such as a polyp or adhesion is identified, it can be surgically managed during the same hysteroscopic procedure, eliminating the need for a separate operative intervention and significantly reducing the patient's overall clinical burden.

Completed within 10 to 30 minutes as a day-care procedure, Diagnostic Hysteroscopy requires no overnight hospital stay in the vast majority of cases and allows most women to return to light daily activities within 24 to 48 hours.

A precisely targeted endometrial biopsy can be taken through the hysteroscope in the same procedure when the endometrial lining appears abnormal, providing histopathological confirmation without requiring any separate or additional biopsy procedure.

For women who have experienced repeated pregnancy loss without a clear explanation, hysteroscopy directly identifies the structural uterine causes, including septum, adhesions, and polyps, that are silently preventing successful pregnancy.

The direct findings of Diagnostic Hysteroscopy form the most reliable and specific foundation for all subsequent treatment decisions, ensuring management is based on confirmed first-hand clinical evidence rather than imaging-based inference alone.

Most women experience only mild cramping similar to period pain during and immediately after the procedure, with full return to light daily activities within 24 to 48 hours and no requirement for extended rest or recovery.

An internationally established, widely performed, and well-tolerated procedure with very low complication rates when performed by experienced gynaecological specialists, as consistently demonstrated at Galwa Care Hospital.























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No. Diagnostic Hysteroscopy is a minimally invasive diagnostic procedure performed without any external cuts, incisions, or stitches, and carried out as a comfortable day-care procedure without an overnight hospital stay in most cases. Most women experience mild cramping similar to period pain during the procedure. With the appropriate anaesthesia or sedation tailored to your individual preference and clinical requirements, the procedure is well tolerated and our team at Galwa Care Hospital prioritises your comfort, dignity, and complete reassurance at every stage from first consultation through to discharge.
The ideal timing for Diagnostic Hysteroscopy is between Day 6 and Day 12 of the menstrual cycle, after menstruation has ended and before ovulation, when the uterine lining is at its thinnest and the cavity is most clearly and comprehensively visible for examination. The hysteroscopic examination itself typically takes between 10 and 30 minutes. Including preparation, anaesthesia, the procedure, and a brief post-procedure recovery and monitoring period, you should plan for a total hospital visit of approximately 2 to 3 hours, after which most patients are discharged home the same day.
Hysteroscopy can identify suspicious or abnormal areas of the endometrium with direct visual accuracy, but cancer diagnosis requires histopathological confirmation through a tissue biopsy. A precisely targeted endometrial biopsy can be taken through the hysteroscope during the same procedure when an abnormality is identified, with histopathology results available from our accredited in-house laboratory within a few days. Your specialist at Galwa Care Hospital will discuss the hysteroscopic findings with you directly and immediately after the procedure is completed, with a follow-up consultation scheduled promptly once biopsy results are available.
Most women return comfortably to light daily activities within 24 to 48 hours of Diagnostic Hysteroscopy. Strenuous physical activity, heavy lifting, swimming, sexual intercourse, and the use of tampons or vaginal products are typically advised to be avoided for five to seven days following the procedure. Minor spotting or light bleeding for one to two days after is a normal and expected part of recovery. If you experience high fever, heavy bleeding, severe worsening pain, or any symptom that concerns you during recovery, contact the team at Galwa Care Hospital immediately without waiting for a scheduled appointment.
Women who have never been pregnant can safely and comfortably undergo Diagnostic Hysteroscopy. Gentle cervical preparation medication may be used beforehand to ensure smooth and comfortable hysteroscope insertion where needed, which our team will discuss with you during the pre-procedure consultation. General anaesthesia is not always required. Many women undergo the procedure comfortably under local anaesthesia or mild sedation. Your specialist at Galwa Care Hospital will recommend the most suitable anaesthesia option based on your individual comfort level, clinical history, and any specific concerns you express during your pre-procedure consultation.