Hysteroscopy in Lucknow —Test, Procedure & Surgery

Hysteroscopy is a minimally invasive procedure in which a thin, lighted telescope (hysteroscope) is passed through the cervix into the uterine cavity, providing direct visualisation of the uterus interior. It is done as a hysteroscopy test (diagnostic) to identify abnormalities such as polyps, fibroids, adhesions, and uterine septum — and as hysteroscopy surgery (operative) to treat these conditions in the same sitting. Hysteroscopy is the gold standard investigation for the uterine cavity, providing information that ultrasound and other imaging cannot match in accuracy.

A hysteroscopy test provides a direct, real-time, high-definition view of the entire uterine cavity — including the endometrium (uterine lining), both tubal ostia (openings of the fallopian tubes), and the uterine walls. It identifies endometrial polyps, submucosal fibroids, intrauterine adhesions (Asherman’s syndrome), uterine septum, uterine anomalies, and abnormal endometrium. A hysteroscopy test can also reveal the cause of abnormal uterine bleeding, recurrent miscarriage, and failed IVF implantation — making it one of the most valuable investigations in reproductive medicine.

The hysteroscopy procedure at Javitri Hospital is performed in our NABH-certified modular operation theatre under light anaesthesia. A thin hysteroscope is passed gently through the vagina and cervix into the uterine cavity, which is then distended with sterile saline for clear visualisation. A high-definition camera transmits a magnified image of the entire uterine cavity to a screen. For operative hysteroscopy, surgical instruments passed through a working channel treat any pathology found — polyp removal, adhesiolysis, septum division — in the same hysteroscopy procedure sitting. The procedure takes 15–60 minutes depending on findings and treatment required.

Uterus hysteroscopy can treat: endometrial polyps (polypectomy — complete removal); submucosal fibroids (hysteroscopic myomectomy — no abdominal incision); intrauterine adhesions or Asherman’s syndrome (adhesiolysis — scar tissue division); uterine septum (metroplasty — dividing the congenital septum to restore a single cavity); retained products of conception (precise targeted removal); and displaced or embedded IUDs (removal under direct visualisation). In each case, uterus hysteroscopy surgery corrects the problem without open surgery, with rapid recovery and preserved fertility.

Yes, significantly. A hysteroscopy test before IVF — or as part of a failed IVF workup — identifies and treats intrauterine abnormalities that prevent embryo implantation. Endometrial polyps, submucosal fibroids, intrauterine adhesions, and uterine septum all impair implantation even when high-quality embryos are transferred. Research consistently shows that operative hysteroscopy surgery to correct these abnormalities improves IVF implantation and live birth rates in women with prior failed cycles. At Javitri Hospital, uterus hysteroscopy is a routine part of the evaluation for women with unexplained implantation failure.

The best time for a hysteroscopy test is between days 5 and 12 of the menstrual cycle — the early follicular phase. At this point the endometrium is thin, providing the clearest possible view of the uterine cavity. A thickened endometrium in the luteal phase can obscure pathology and make the hysteroscopy procedure technically more difficult. The hysteroscopy test is not performed during menstruation. For postmenopausal women, cervical priming with misoprostol is used before the procedure to soften the cervix.

Recovery after hysteroscopy surgery is typically fast. After a diagnostic hysteroscopy test, most patients resume normal activities within 24–48 hours. After operative hysteroscopy surgery — for polyp removal, fibroid resection, adhesiolysis, or septum division — most patients return to normal activity within 3–5 days. Light spotting or watery discharge for a few days is normal. Strenuous exercise and sexual intercourse are usually avoided for 1–2 weeks. A follow-up review is scheduled 4–6 weeks after hysteroscopy surgery to assess healing and plan the next steps in fertility treatment.

Hysteroscopy is one of the safest gynaecological procedures available — serious complications are uncommon. Rare risks include uterine perforation (less than 1% in experienced hands), infection (minimised with antibiotic prophylaxis), fluid overload in prolonged operative cases (managed with strict fluid balance monitoring), and cervical injury. At Javitri Hospital, all hysteroscopy procedures are performed by experienced gynaecological specialists in our NABH-certified modular operation theatre with full anaesthetic and surgical support — ensuring maximum safety and minimising risk at every stage of the hysteroscopy procedure.

Javitri Hospital is Lucknow’s NABH-accredited centre for diagnostic and operative hysteroscopy — offering HD hysteroscopy imaging, a dedicated modular operation theatre, same-day discharge, and diagnostic plus operative hysteroscopy surgery combined in a single sitting where possible. Dr. Rajul Tyagi, Dr. Archana Rastogi, and Dr. Shivani Agarwal bring 30+ years of combined gynaecological and reproductive surgery expertise — ensuring the highest precision and safety for every uterus hysteroscopy procedure. Furthermore, our fertility-first approach ensures that every hysteroscopy test and subsequent treatment decision is focused on achieving the best possible pregnancy outcomes.