Hysteroscopy Surgery: Advanced & Safe Uterine Care in Mumbai

Hysteroscopy is categorized into two main types based on the purpose of the procedure:

• Diagnostic Hysteroscopy: Used to examine the uterine cavity for conditions such as fibroids, polyps, adhesions, septum, and causes of infertility or abnormal bleeding. It can also include biopsy sampling.
• Operative Hysteroscopy: Performed to treat issues identified during diagnostic hysteroscopy. It involves using specialized instruments to remove fibroids, polyps, adhesions, uterine septum, or correct structural abnormalities.

Tip: Often, both diagnostic and operative procedures can be done in a single session, reducing the need for multiple surgeries.

Hysteroscopy is performed for both diagnostic and operative purposes. Here are the key indications:

Diagnostic Hysteroscopy

• Evaluating the uterine cavity in cases of infertility and collecting endometrial samples
• Investigating abnormal uterine bleeding or postmenopausal bleeding
• Diagnosing uterine septum, fibroids, adhesions, and polyps
• Performing a second-look hysteroscopy after previous surgery

Operative Hysteroscopy

• Septum removal (Septum resection or septoplasty): Corrects uterine septum for better fertility outcomes
• Submucosal fibroid removal: Improves uterine health and reduces heavy bleeding
• Adhesion removal: Treats intrauterine adhesions (Asherman’s syndrome) caused by infection, surgery, or D&C
• Tubal block correction: Opens blocked fallopian tubes for improved fertility
• Site-specific biopsy: Helps diagnose abnormal uterine or postmenopausal bleeding
• Isthmocele correction: Repairs C-section scar defects
• Cesarean scar ectopic removal: Removes pregnancy implanted on C-section scar
• Recurrent miscarriage evaluation: Identifies structural uterine issues
• Removal of lost IUD (Copper T): Safely extracts misplaced intrauterine devices
• Metroplasty: Corrects the shape of an abnormal uterus

Tip: Hysteroscopy offers precise treatment and diagnosis without external cuts, making it ideal for fertility management and abnormal bleeding cases.

Hysteroscopy provides a clear view of the uterine cavity, making it highly effective for diagnosing and treating various gynecological conditions, including:

• Abnormal Uterine Bleeding (AUB): Identifies causes like polyps, fibroids, or endometrial abnormalities
• Fibroids: Especially submucosal fibroids that affect bleeding and fertility
• Endometrial Polyps: Growths inside the uterine cavity that can cause irregular bleeding or infertility
• Intrauterine Adhesions (Asherman’s Syndrome): Scar tissue that interferes with normal menstruation and pregnancy
• Uterine Septum or Malformations: Structural abnormalities impacting conception and pregnancy outcomes
• Lost Intrauterine Device (IUD): Retrieval of misplaced contraceptive devices
• Causes of Infertility: Detects uterine factors affecting implantation and pregnancy

Tip: Hysteroscopy often combines diagnosis and treatment in one session, reducing the need for multiple procedures.

Hysteroscopy offers several advantages over traditional surgical methods for diagnosing and treating uterine conditions. Key benefits include:

• Minimally invasive: No external cuts or stitches required
• Daycare procedure: Most patients go home the same day
• Minimal pain and quick recovery: Resume normal activities within a few days
• Accurate diagnosis: Provides a clear view of the uterine cavity for precise evaluation
• Effective treatment: Ideal for removing fibroids, polyps, adhesions, and correcting uterine septum
• Improves fertility: Restores normal uterine anatomy for better conception chances
• Alternative to hysterectomy: Treats certain conditions without removing the uterus

Tip: Hysteroscopy combines diagnosis and treatment in a single session, saving time and reducing complications.

Ideal candidates for hysteroscopy include women who:

• Have unexplained infertility or recurrent miscarriages
• Suffer from abnormal uterine bleeding
• Have uterine abnormalities like fibroids, polyps, or septum
• Need removal of intrauterine adhesions (Asherman’s syndrome)
• Require evaluation of the uterine cavity before IVF or ART

Tip: Your gynecologist will determine suitability based on symptoms, ultrasound, and medical history.

Proper preparation helps ensure a safe and smooth hysteroscopy experience. Here’s a pre-operative checklist:

• Schedule during the early menstrual phase: The uterine lining is thin, giving a clearer view
• Inform your doctor about medications: Especially blood thinners, diabetes, and thyroid drugs
• Fasting: Avoid food and water for 6–8 hours before the procedure if anesthesia is planned
• Pre-procedure tests: Blood work and imaging if advised by your doctor
• Avoid vaginal products: Stop using creams, douches, or tampons 24 hours before the procedure
• Arrange transport: Mild sedation or anesthesia may affect your ability to drive post-procedure

Tip: Follow all pre-op instructions given by your gynecologist for a smooth and complication-free experience.

Hysteroscopy is a safe, minimally invasive procedure that combines diagnostic and therapeutic capabilities. Here’s how it is done:

• Anesthesia: Performed under short general anesthesia or mild sedation for patient comfort
• Duration: 8–10 minutes for diagnostic hysteroscopy and 15–20 minutes for operative hysteroscopy

Step-by-Step Procedure

• The uterine cavity is gently distended with sterile saline using a hysteromat system for controlled pressure and safety
• A thin hysteroscope with a high-definition camera is inserted through the cervix to visualize the uterine cavity
• A systematic examination of the uterus is performed to identify fibroids, polyps, septum, or adhesions
• If treatment is needed, specialized hysteroscopic instruments are used for removal or correction
• The procedure often concludes with a gentle D&C (dilation and curettage) for accurate diagnosis and tissue sampling

Tip: Hysteroscopy requires no external incision and is typically completed as a daycare procedure with a quick recovery.

After hysteroscopy, you will be observed for a short period before discharge. Post-operative care typically includes:

• Recovery Time: Most patients can go home within a few hours
• Mild Symptoms: Light bleeding or mild cramping for 1–2 days
• Diet: Normal diet can be resumed within 2–4 hours
• Activity: Walking is encouraged; avoid strenuous exercise for 2–3 days
• Restrictions: No tampons or intercourse for at least 3–5 days

Tip: Contact your doctor immediately if you experience heavy bleeding, fever, or severe abdominal pain.

Hysteroscopy is a daycare procedure with minimal downtime and quick recovery. Here’s what you can expect post-surgery:

• Hospital Stay: Daycare procedure; discharge within a few hours
• Diet: Resume normal diet 2–4 hours after the procedure
• Mobility: Start walking within 15 minutes to 1 hour
• Pain Level: Minimal or no pain; mild cramping in some cases
• Bathing: Allowed on the same day
• Follow-up: Scheduled after 5–6 days for review and reports

Tip: Avoid sexual intercourse, tampons, and strenuous activities for 3–5 days or as advised by your doctor.

Hysteroscopy is a safe, minimally invasive procedure, but like any surgery, it carries some rare risks. Possible complications include:

• Anesthesia-related risks: Mild reactions to sedatives or general anesthesia
• Excessive bleeding: Usually controlled during the procedure
• Fluid overload: From distension media used during the procedure
• Uterine perforation: Accidental puncture of the uterine wall (rare)
• Infection: Low risk if proper sterile techniques are followed

When to call your doctor: Severe abdominal pain, heavy bleeding, fever, or urinary problems after the procedure require immediate medical attention.

Hysteroscopy is generally safe, but it should be avoided in the following situations:

• Current pregnancy
• Active pelvic infection or untreated sexually transmitted infection (STI)
• Recent uterine perforation or major uterine surgery
• Severe medical instability or uncontrolled chronic illness
• Heavy uterine bleeding that prevents clear visualization

Tip: Always undergo a full evaluation before scheduling hysteroscopy to ensure safety.

Hysteroscopy is highly successful in improving fertility and treating uterine abnormalities. Success rates include:

• Infertility treatment: 50–70% success when combined with other fertility treatments
• Fibroid and polyp removal: Over 90% symptom relief and improved conception chances
• Adhesion removal: 80–90% restoration of normal uterine cavity

Fact: Studies show hysteroscopy significantly boosts IVF success rates by correcting intrauterine issues before embryo transfer.

The cost of hysteroscopy surgery at Vardaan Hospital depends on the type of room and services selected. Here is an approximate price range:

• General Ward: ₹50,000
• Semi-Special Room: ₹68,000 – ₹75,000
• Deluxe Room: ₹1,20,000
• Super Deluxe Room: ₹1,50,000
• Suite Room: ₹2,00,000

Note: Final costs depend on the complexity of the procedure and additional services. For an accurate estimate, consult Dr. Dimple Doshi at Vardaan Hospital, Goregaon West, Mumbai.

Dr. Dimple Doshi is one of Mumbai’s leading gynecologists, renowned for her expertise in advanced hysteroscopic procedures. With decades of experience and thousands of successful cases, she specializes in:

• Diagnostic and operative hysteroscopy for fibroids, polyps, and uterine abnormalities
• Fertility-preserving procedures for women planning pregnancy
• Minimally invasive, scarless techniques with quick recovery

Practice Location: Vardaan Hospital, Goregaon West, Mumbai – a trusted center for advanced gynecological care.

Vardaan Hospital is a trusted center for advanced gynecological care. Here’s why it is the preferred choice for hysteroscopy:

• Expert Care: Dr. Dimple Doshi has extensive experience and has successfully performed thousands of hysteroscopic procedures
• Advanced Technology: Equipped with high-definition cameras and modern hysteroscopic instruments for precision
• Comprehensive Diagnosis & Treatment: Both diagnostic and operative hysteroscopy performed in a single sitting
• Daycare Procedure: Minimal downtime, same-day discharge, and fast recovery
• Patient-Centric Approach: Personalized care, transparent pricing, and dedicated support throughout the treatment

Tip: Choose a center with proven expertise for better outcomes and reduced complications.

ICD-10 Codes for Hysteroscopy Indications

CPT Codes for Hysteroscopy Surgery

Q1. Is hysteroscopy a major surgery?

Q2. Are there any stitches in a hysteroscopy?

Q3. How much does a hysteroscopy cost in India?

Q4. Can I get my period after a hysteroscopy?

Q5. Can you get pregnant after a hysteroscopy?

Q6. What happens after a hysteroscopy procedure?

Q7. Who needs a hysteroscopy?

Q8. Is hysteroscopy done without anesthesia?

Q9. What type of doctor performs a hysteroscopy?

Q10. Is hysteroscopy painful after surgery?

Q11. Can I climb stairs after a hysteroscopy?

Q12. Which is more painful: HSG or hysteroscopy?

Q13. Can hysteroscopy unblock fallopian tubes?

Q14. Can hysteroscopy delay periods?

Q15. Which is better: laparoscopy or hysteroscopy?

Q16. Is general anesthesia used for hysteroscopy?

Q17. What are the restrictions after hysteroscopy?

Q18. How long should you rest after hysteroscopy?