Dr Dimple Doshi

Office Hysteroscopy: Safe, Quick & Expert Gynecological Care

Author:


Dr. Dimple Doshi (MBBS, MD, DGO)
Female Obstetrician and Gynecologist
27+ years’ experience
20,000+ surgeries completed

Heavy Bleeding or Unexplained Pain? Office Hysteroscopy Offers Answers Without Hospital Stay

Are you dealing with abnormal bleeding, repeated miscarriages, or unexplained pelvic pain? Traditional diagnostic procedures often require anesthesia and hospital admission, making many women anxious about undergoing them.

Delaying evaluation can lead to missed diagnoses of conditions like polyps, fibroids, uterine septum, or endometrial issues. This can cause ongoing discomfort, fertility problems, and emotional stress—affecting both health and peace of mind.

Office Hysteroscopy is a quick, minimally invasive, no-anesthesia procedure that allows your doctor to visualize the inside of your uterus using a tiny camera—all in a comfortable outpatient setting.

At Vardaan Hospital, Dr. Dimple Doshi uses advanced hysteroscopic technology for accurate diagnosis and even minor treatments—without hospital admission, without stitches, and with minimal downtime.

What Is Office Hysteroscopy?

Office hysteroscopy is a minimally invasive procedure using a 2.9 mm hysteroscope to visualize the uterine cavity without anesthesia, offering quick diagnosis and treatment.
  • Performed in the outpatient department (OPD)
  • No general anesthesia or hospital admission required
  • Uses a high-definition camera and monitor for real-time visualization

Synonyms: Outpatient hysteroscopy, OPD hysteroscopy, diagnostic hysteroscopy, in-office uterine cavity examination

What Are the Advantages and Benefits of Office Hysteroscopy?

Office hysteroscopy offers fast, cost-effective, and safe uterine evaluation with minimal discomfort.

  • Quick Procedure: Usually completed in 5–10 minutes
  • Cost-Effective: No anesthesia or admission charges
  • Safe for High-Risk Patients: Ideal when anesthesia is risky
  • Faster Recovery: Patients can return home within 30 minutes

What Are the Indications for Office Hysteroscopy?

This procedure is recommended for accurate diagnosis and minor interventions in the following cases:

  • Abnormal uterine bleeding (AUB), especially after age 45
  • Intermenstrual or postcoital bleeding
  • Suspected fibroids, polyps, or uterine pathology
  • Bleeding after menopause
  • Subfertility and recurrent miscarriages
  • Asherman’s syndrome (uterine adhesions)
  • Congenital uterine anomalies
  • Women on Tamoxifen for breast cancer

What Are the Contraindications of Office Hysteroscopy?

Office hysteroscopy should be avoided in these conditions:

  • Active pelvic infection
  • Confirmed or suspected pregnancy
  • Cervical cancer
  • Severe heavy bleeding at the time of procedure

What Preparations Are Needed Before Office Hysteroscopy?

Minimal preparation is required for office hysteroscopy:

  • Schedule the procedure 7 days after your menstrual period
  • Vitals such as blood pressure, pulse, and temperature will be checked
  • No fasting or special preparation is required

What Is the Procedure for Office Hysteroscopy?

The procedure is simple, quick, and anesthesia-free:

  • Patient is positioned comfortably; vitals are monitored
  • A speculum is inserted and the vagina cleaned with antiseptic
  • A thin hysteroscope with HD camera is inserted after saline distention of the uterus
  • The uterine cavity is examined for fibroids, polyps, or adhesions
  • If lesions are detected, removal can be performed in the same sitting

Duration: 5–10 minutes | Anesthesia: Not required

How Long Does Office Hysteroscopy Take and What Is the Recovery Like?

Office hysteroscopy usually takes 5–10 minutes, and most patients can return to normal activities the same day with only mild cramping or discomfort.

  • Quick, outpatient procedure without hospital admission
  • No general anesthesia required
  • Minimal pain, managed with mild analgesics if needed
  • Immediate return to daily routine in most cases

What Are the Risks and Possible Complications of Office Hysteroscopy?

Although safe, some mild side effects may occur:

  • Mild cramping or spotting for 1–2 days
  • Rare infection or uterine perforation (extremely rare)

What Is the Difference Between Office Hysteroscopy and Traditional Hysteroscopy?

Office hysteroscopy is done in an outpatient setting without anesthesia, while traditional hysteroscopy often requires hospitalization and general anesthesia.

Feature Office Hysteroscopy Traditional Hysteroscopy
Setting Outpatient (OPD) Hospital/Operating Room
Anesthesia Not required Usually requires general or regional anesthesia
Procedure Duration 5–10 minutes 30–60 minutes
Recovery Time Same day, minimal downtime Requires observation or hospital stay
Pain/Discomfort Mild, managed without anesthesia Minimal during procedure due to anesthesia
Cost Lower (no hospital admission) Higher (includes hospital and anesthesia charges)

When Should You See a Doctor for Office Hysteroscopy?

Consult your gynecologist if you experience:

  • Unexplained abnormal uterine bleeding
  • Repeated miscarriages or infertility
  • Postmenopausal bleeding

Who Is the Best Doctor for Office Hysteroscopy in Mumbai?

Dr. Dimple Doshi at Vardaan Hospital, Goregaon, is a leading gynecologist specializing in advanced hysteroscopic procedures for accurate and painless diagnosis.

  • Expert in office-based hysteroscopy for quick and safe evaluation
  • 26+ years of experience in gynecology and minimally invasive procedures
  • Focus on patient comfort with no anesthesia or hospitalization
  • Comprehensive care for menstrual irregularities and fertility issues

Which Is the Best Hospital for Office Hysteroscopy in Goregaon, Mumbai?

Vardaan Hospital in Goregaon, Mumbai, is a leading center for women’s health, offering advanced hysteroscopic technology and expert care for accurate diagnosis and treatment.

  • Equipped with state-of-the-art hysteroscopic instruments
  • Experienced gynecologists specializing in minimally invasive procedures
  • Quick, safe, and outpatient-based diagnostic solutions
  • Personalized care for menstrual and reproductive health concerns

Medical Code for Office Hysteroscopy

ICD-10 Codes for Office Hysteroscopy

ICD-10 CodeDescription
N84.0Polyp of corpus uteri (common indication for hysteroscopy)
N84.1Polyp of cervix uteri
N93.8Other specified abnormal uterine and vaginal bleeding
N92.1Excessive and frequent menstruation
N85.0Endometrial hyperplasia, unspecified
N85.8Other specified noninflammatory disorders of uterus
Z31.41Encounter for fertility testing (diagnostic hysteroscopy)

CPT Codes for Office Hysteroscopy

CPT CodeProcedure
58555Hysteroscopy, diagnostic (separate procedure)
58558Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy
58559Hysteroscopy, surgical; with lysis of intrauterine adhesions
58560Hysteroscopy, surgical; with removal of submucous myoma
58563Hysteroscopic endometrial ablation (global or thermal energy)
58340Catheter introduction for hysterosalpingography (often done with diagnostic hysteroscopy)

FAQs – Office Hysteroscopy

Q1. Is office hysteroscopy painful?

Ans. Most patients experience only mild discomfort during office hysteroscopy as it is performed without general anesthesia. Pain varies depending on individual sensitivity.

Q2. Can I walk immediately after office hysteroscopy?

Ans. Yes, patients can usually walk and resume light activities immediately after the procedure.

Q3. How safe is office hysteroscopy?

Ans. Office hysteroscopy is considered a very safe diagnostic and therapeutic procedure with minimal complications compared to traditional hysteroscopy.

Q4. Does office hysteroscopy require anesthesia?

Ans. No general anesthesia is required. The procedure is typically performed under local anesthesia or no anesthesia at all.

Q5. Can office hysteroscopy remove uterine polyps?

Ans. Yes, small polyps and minor intrauterine abnormalities can often be treated during the same session.

Q6. What is the cost of office hysteroscopy in India?

Ans. The cost varies depending on the clinic, city, and complexity, but generally ranges between ₹8,000 and ₹20,000.

Q7. How do I prepare for an office hysteroscopy?

Ans. Avoid intercourse, tampons, and vaginal medications for 24 hours before the procedure. Your doctor may also recommend mild painkillers.

Q8. Can I get pregnant after office hysteroscopy?

Ans. Yes. In fact, office hysteroscopy often improves fertility by treating structural abnormalities inside the uterus.

Q9. When can I resume normal activities after office hysteroscopy?

Ans. Most patients can return to work and daily activities the same day or within 24 hours.

Q10. How long does bleeding last after office hysteroscopy?

Ans. Mild spotting or discharge may occur for 1–2 days after the procedure.

Q11. Is hysteroscopy more painful than a biopsy?

Ans. Office hysteroscopy is generally less painful and more comfortable than most invasive gynecological procedures.

Q12. Why do doctors recommend office hysteroscopy?

Ans. It allows direct visualization of the uterine cavity for accurate diagnosis and minimally invasive treatment without hospitalization.

Q13. What are the disadvantages of office hysteroscopy?

Ans. Disadvantages are minimal but can include discomfort, slight risk of infection, and limited ability to treat large abnormalities.

Q14. Is office hysteroscopy better than D&C?

Ans. Yes, because it is less invasive, offers real-time visualization, and avoids unnecessary blind procedures like D&C.

Q15. Do I need to shave for office hysteroscopy?

Ans. No special shaving is required; basic hygiene is sufficient.

Take charge of your health today.

Book your consultation with Dr. Dimple Doshi at
Vardaan Hospital, Goregaon West, Mumbai.

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