Clear Answers Without the Operating Room
A quick, in-office look inside the uterus to diagnose and treat common causes of bleeding and pain.
Office hysteroscopy uses a thin camera to view the inside of the uterus through the cervix—no incisions and typically no general anesthesia. It helps explain abnormal bleeding, visualize polyps or fibroids, confirm IUD position, and guide gentle, targeted treatment the same day when appropriate.
Fast Facts
Minimally invasive; usually 10–20 minutes
No incisions; most patients return to normal activity the same day
Diagnostic and treatment options in one visit for select findings
Cramping or light spotting for 24–48 hours is common
Common Reasons We Perform It
- Abnormal or postmenopausal bleeding
- Suspected endometrial polyps or submucosal fibroids
- Retained tissue after pregnancy or miscarriage
- Evaluation of infertility or recurrent pregnancy loss
- IUD localization when strings are not visible
Why It Matters
Seeing the uterine cavity directly can quickly clarify the cause of bleeding or pain and streamline care. When small polyps or tissue are found, they can often be removed immediately, avoiding a separate operating room procedure.
What to Expect
After reviewing your history and a pregnancy test if indicated, we place a speculum and pass a slim hysteroscope through the cervix. Sterile saline gently distends the cavity for clear visualization. You may feel period-like cramping and pressure. Many patients prefer oral anti-inflammatories beforehand; a local numbing injection (paracervical block) can be used if needed.
Office vs. Operating Room Hysteroscopy
Office Hysteroscopy
- No general anesthesia; faster recovery
- Convenient and cost-effective
- Ideal for diagnosis and small polyp removal
- Light cramping; back to routine the same day
Operating Room Hysteroscopy
- Anesthesia support for comfort with larger procedures
- Useful for bigger fibroids or complex adhesions
- Longer recovery and scheduling lead time
- Higher overall cost and resources
Safety and Recovery
Light spotting and mild cramping are common for 1–2 days. Infections and significant bleeding are uncommon. Very rarely, the scope can create a small uterine perforation; we minimize this risk with gentle technique and appropriate case selection. We will review personalized aftercare and when to call us.
Before Your Visit
- ✓Take an NSAID (e.g., ibuprofen) 30–60 minutes before unless advised otherwise
- ✓Eat a light meal and stay hydrated
- ✓Avoid intercourse, douching, or intravaginal products 24 hours prior
- ✓Bring a list of medications and any recent imaging or biopsy reports
- ✓Plan for a pantyliner; expect light spotting after the procedure
Frequently Asked Questions
1Will it be painful?
Most patients describe period-like cramping and pressure. Oral pain relief beforehand helps. A local numbing injection can be offered if needed.
2Can you remove polyps the same day?
Often yes. Small polyps and retained tissue can sometimes be removed during the same session using miniature instruments.
3Is anesthesia required?
No general anesthesia is typically needed in the office. We focus on gentle technique, oral medication, and local anesthetic when appropriate.
4How soon can I resume normal activities?
Most patients return to work and routine activities the same day. Avoid intercourse, tampons, and hot tubs for 24–48 hours unless we advise otherwise.
5What are the risks?
Cramping, spotting, and temporary watery discharge are common. Infection, significant bleeding, or uterine perforation are uncommon. We will review your individual risk profile before proceeding.
Answers in a Single Visit
If you're experiencing abnormal bleeding or uterine symptoms, office hysteroscopy can provide clarity and, in many cases, treatment at the same time.
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