Surgical Fertility Solutions

Hysteroscopic Surgery

What is
Hysteroscopic Surgery

Hysteroscopic surgery is a minimally invasive procedure that allows doctors to look inside the uterine cavity and treat problems that may affect fertility or cause symptoms such as abnormal bleeding. A thin, lighted instrument called a hysteroscope is gently inserted through the cervix into the uterus, eliminating the need for external incisions.

This advanced approach not only diagnoses abnormalities but also treats them at the same time, helping women improve their chances of natural conception or enhancing outcomes of fertility treatments like IVF.

When is it Recommended?

Hysteroscopic surgery may be advised if:

You have suspected uterine abnormalities such as fibroids, polyps, adhesions (Asherman’s Syndrome), uterine niche defects, or Müllerian anomalies (e.g. uterine septum or T-shaped uterus)
You experience irregular or heavy menstrual bleeding
You have a history of recurrent miscarriages
Imaging tests suggest a structural issue within the uterine cavity
Fertility treatments have been unsuccessful, and uterine evaluation is required

How the Procedure Works

During hysteroscopic surgery:

A hysteroscope is passed through the vagina and cervix into the uterus.
The uterine cavity is expanded with fluid or gas to allow clear visibility.
Special miniature surgical instruments are used to remove growths, correct abnormalities, or restore normal uterine anatomy.

Because the procedure avoids large incisions, recovery is generally quick and less painful compared to traditional surgery

Advantages of
Hysteroscopic Surgery

Minimally-invasive: No abdominal incisions required
Targeted treatment: Abnormalities are corrected precisely under direct vision
Faster recovery: Many patients return home the same day
Fewer complications: Lower risk compared to open surgery
Improved fertility outcomes: Restores the uterine cavity to optimise embryo implantation and pregnancy chances

Recovery and Next Steps

Hysteroscopic surgery is usually performed as a day procedure. Most women can return to normal activities within a day or two. Some may experience mild cramping or spotting for a short period.

Couples may try to conceive naturally after the uterus has healed, or continue with fertility treatments such as IUI or IVF, depending on the care plan recommended by their doctor.