Hysteroscopy

Hysteroscopy is an examination of the inside of the uterus with a thin telescope passed through the vagina and cervix, with no cuts. In the same sitting the gynaecologist can remove polyps, fibroids that bulge into the cavity, scar tissue or a dividing septum, and take targeted biopsies.

It is the most accurate way to diagnose and treat problems inside the uterine cavity that cause abnormal bleeding, infertility or miscarriage. It cannot treat fibroids within the wall or on the outer surface, and it does not assess the tubes or ovaries.

What Hysteroscopy involves

The procedure is timed for the week after a period, when the lining is thin, or any time after menopause. A hysteroscope 3 to 5 millimetres wide is guided through the cervix using the vaginoscopic approach, often without a speculum, while saline flows in to open the cavity. The surgeon inspects both tubal openings and the lining on a monitor. For operative work the cervix may be dilated to take a 7 to 9 millimetre resectoscope or a mechanical tissue removal device. Polyps are cut at the base; submucous fibroids are shaved away in strips with a bipolar loop; a septum is divided with scissors or a needle electrode up to the level of the tubal openings; adhesions are cut under vision. Fluid going in and out is measured throughout to avoid overload. Tissue is sent for pathology.

Who is a good candidate for Hysteroscopy?

It is recommended when ultrasound or symptoms point to something inside the cavity.

• Heavy, irregular or postmenopausal bleeding with a thickened lining or suspected polyp
• Submucous fibroids, best when under about 4 to 5 centimetres and mostly inside the cavity
• Uterine septum with recurrent miscarriage
• Intrauterine adhesions (Asherman syndrome) after curettage
• Repeated IVF implantation failure with a suspected cavity abnormality
• Retained pregnancy tissue or a lost coil

It is usually not the right choice if:

• Pregnancy or active pelvic infection
• Known cervical or advanced uterine cancer
• Fibroids lying mainly in the wall, which need laparoscopic or open myomectomy
• Heavy bleeding on the day, which hides the view
• Routine use before a first IVF cycle with a normal scan, where trials show no benefit

الخيارات التقنية

• Office diagnostic hysteroscopy: No anaesthetic, 5 to 10 minutes; look and biopsy.
• Hysteroscopic polypectomy: Scissors, loop or tissue removal device; symptom relief in most women.
• Hysteroscopic myomectomy: Resectoscope shaving of submucous fibroids; large or deep ones may need two sessions.
• Septum resection (metroplasty): For a septate uterus confirmed on 3D ultrasound or MRI.
• Adhesiolysis: For Asherman syndrome, often followed by oestrogen and a temporary balloon or gel to stop re-scarring.

ماذا يحدث خلال علاجك

Diagnostic hysteroscopy takes 5 to 15 minutes, often awake with simple painkillers; cramping is brief. Operative procedures take 20 to 60 minutes under general or spinal anaesthesia or sedation. Almost all are day cases, and you go home within a few hours with mild cramps and watery, blood-stained discharge.

الإعداد لرحلتك

Plan for 3 to 5 days in Istanbul. Your surgeon reviews photographs and your medical history before you book, and you meet in person the day before surgery for examination, marking and consent with a professional interpreter.

• Stop smoking and nicotine at least four weeks before and after surgery; it is the single biggest avoidable cause of wound problems
• Tell the team about every medicine and supplement you take; blood thinners, some herbal products and hormone treatment may need to be paused on your doctor's advice
• Arrange for someone to travel with you or to be reachable, and keep the first days at home free of work and lifting
• Book a changeable return flight; your surgeon confirms when you are fit to fly

التعافي والنتائج

Most women return to normal activity the next day after a diagnostic procedure and within 2 to 3 days after operative work. Spotting can last 1 to 2 weeks; avoid tampons, intercourse and swimming until it stops. Pathology results take about a week. After septum or adhesion surgery a follow-up look or scan at 4 to 8 weeks checks the cavity, and conception is usually allowed after 1 to 2 cycles.

• Back to everyday activity: 1 to 3 days
• When results show: Bleeding improves within 1 to 2 cycles
• How long they last: Polyps and fibroids can recur

سياسة السلامة والمخاطر والتنقيح

Hysteroscopy is low risk; serious events are rare and mostly tied to operative work.

• Perforation of the uterus, usually healing on its own; rarely bowel or bladder injury needing laparoscopy
• Fluid overload with low blood sodium during long resections
• Bleeding, occasionally needing a balloon inside the uterus
• Infection of the uterine lining
• New adhesions inside the cavity after fibroid or septum surgery
• Incomplete removal requiring a second procedure
• Cervical tear or failure to enter a tight cervix

Every written proposal arranged through Clinic-Y states what the clinic covers if a correction is needed. Ask for it before you book, not after.

Cost of Hysteroscopy in Türkiye

Clinic-Y does not publish a single price for Hysteroscopy, because the honest figure depends on your case. What moves it:

• Diagnostic only or operative, and which lesion is treated
• Anaesthesia type and theatre time
• Disposable tissue removal devices
• Pathology examination
• Need for a second-stage procedure

Send your photographs or reports and you receive written, all-inclusive proposals from suitable teams, side by side. Reviewing your case is free.

الأسئلة المتكررة