Camera test
Hysteroscopy
A hysteroscopy uses a thin camera passed through the vagina and cervix to look inside the womb, often to investigate abnormal bleeding.
Quick answer
Hysteroscopy: what it is and what the results mean
A hysteroscopy is an examination of the inside of the uterus (womb) using a hysteroscope — a narrow tube with a light and camera. Small instruments can be passed alongside it to take samples or carry out minor treatments.
- Why it is done: It is used to investigate heavy, irregular or post-menopausal bleeding, to find fibroids or polyps, to investigate fertility problems or repeated miscarriage, and to remove polyps, fibroids or a coil that is hard to find.
- Understanding results: The doctor can often describe what was seen straight away, with any biopsy results following in a couple of weeks.
What it is
A hysteroscopy is an examination of the inside of the uterus (womb) using a hysteroscope — a narrow tube with a light and camera. Small instruments can be passed alongside it to take samples or carry out minor treatments.
Why it is done
It is used to investigate heavy, irregular or post-menopausal bleeding, to find fibroids or polyps, to investigate fertility problems or repeated miscarriage, and to remove polyps, fibroids or a coil that is hard to find.
What to expect
It can be done in a clinic without anaesthetic or under general anaesthetic. The hysteroscope is passed through the cervix and fluid or gas gently opens the womb. An outpatient procedure usually takes 10–30 minutes and may cause period-like cramps.
Understanding the results
The doctor can often describe what was seen straight away, with any biopsy results following in a couple of weeks. Findings may include polyps, fibroids, thickened lining or other changes that guide treatment.
Good to know
Risks and limitations
It is generally safe, but can cause cramping, light bleeding and, rarely, infection or a small tear in the womb. An outpatient hysteroscopy can be uncomfortable, so pain relief options should be discussed beforehand.
Education and reference only. This explains the test in general terms and is not medical advice. Always follow the specific instructions from the team arranging your test, and discuss your results with your clinician.
Answers
Hysteroscopy: frequently asked questions
Is a hysteroscopy painful?
Many women feel only period-like cramping, but some find it painful. You can take pain relief beforehand, ask for local anaesthetic, and request the procedure be done under sedation or general anaesthetic if needed.
Do I need time off afterwards?
After an outpatient hysteroscopy most people can go home and resume normal activities the same day. If you have a general anaesthetic you will need someone to take you home and should rest for the day.
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Sources
Where this is drawn from
- NHS — Tests and treatments
- NICE — diagnostic guidance
- Relevant royal college / professional body
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