Health Library



This procedure uses a scope to let the doctor to see inside the uterus.

Female Reproductive Organs
Nucleus Image
Copyright © Nucleus Medical Media, Inc.

Reasons for Procedure

Hysteroscopy may be done to look for causes of:

Hysteroscopy may also be done as part of treatment. It may be used to remove:

Possible Complications

Problems are rare, but all procedures have some risk. The doctor will go over some problems that could happen, such as:

  • Swelling or bleeding
  • Problems from anesthesia
  • Infection
  • Harm to nearby structures

Things that may raise the risk of problems are:

  • Smoking
  • Drinking ecess alcohol
  • Long term diseases such as diabetes or obesity
  • History of pelvic inflammatory disease
  • Inflammation of the cervix
  • Distended bladder
  • Pregnancy or possible pregnancy

What to Expect

Prior to Procedure

The care team may meet with you to talk about:

  • Anesthesia options
  • Any allergies you may have
  • Current medicines, herbs, and supplements that you take and whether you need to stop taking them before the procedure
  • Fasting before the procedure, such as avoiding food or drink after midnight the night before
  • Whether you need a ride to and from the procedure


The doctor may give:

  • General anesthesia—you will be asleep
  • Regional anesthesia—pain will be blocked without causing sleep
  • Local anesthesia—the area will be numbed

Description of the Procedure

A speculum is placed in the vagina. It will gently press open the vagina. A scope will be passed through the vagina and into the uterus. The uterus will be filled with a gas or liquid. This will let the doctor get a clear look inside the uterus.

Other tools may be passed into the uterus. Abnormal tissue will be removed or repairs will be made. A sample of tissue may be removed for a biopsy. All samples will be sent to a lab for exam.

How Long Will It Take?

About 15 to 45 minutes

Will It Hurt?

There may be mild cramping and soreness. Medicine can help.

Post-procedure Care

Once you feel better, you will be able to go home. Most can go back to normal activity within a few days. Full recovery will depend on what was done.

At Home

Most can go back to normal activity within a few days. Full recovery will depend on what was done.

Problems to Look Out For

Call your doctor if you are not feeling better or you have:

  • Signs of infection, such a fever and chills
  • Abnormal bleeding (more than a menstrual period)
  • Foul-smelling vaginal discharge
  • Belly pain
  • Nausea, vomiting
  • Problems breathing, problems swallowing, or chest pain
  • Problems passing urine (pee)
  • Any new or worsening symptoms

If you think you have an emergency, call for medical help right away.


The American College of Obstetricians and Gynecologists

Office on Women's Health

Canadian Resources

The Society of Obstetricians and Gynaecologists of Canada

Women's Health Matters


Hysteroscopy. American College of Obstetricians and Gynecologist website. Available at:

Hysteroscopy. EBSCO DynaMed website. Available at:

Hysteroscopy. NHS website. Available at:

Salazar CA, Isaacson KB. Office operative hysteroscopy: an update. J Minim Invasive Gynecol. 2018;25(2):199-208.