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The two names are easy to mix up. The difference is their purpose. Diagnostic hysteroscopy lets the doctor inspect the uterine cavity. If a polyp, fibroid, adhesion or retained tissue needs to be removed, operative hysteroscopy may be used.

According to Dr. Pallavi Chauhan, the choice between diagnostic and operative hysteroscopy depends on what needs to be done. “Hysteroscopy gives us a clear view of the uterine cavity and allows us to diagnose and treat many uterine conditions during the same procedure,” she explains.

Not sure whether you need diagnostic or operative hysteroscopy?

What is the difference between the two procedures?

Both procedures involve passing a thin camera through the vagina and cervix. What happens next is different.

Point Diagnostic hysteroscopy Operative hysteroscopy
Why it is done To examine the uterine cavity To treat a condition found there
When it may help Unusual bleeding, fertility concerns or unclear scan findings Polyps, selected fibroids, adhesions or retained tissue
What the doctor uses A hysteroscope with a camera and light A hysteroscope with small surgical instruments
What recovery is like Often brief Depends on the treatment carried out

A doctor may find and treat a problem during one sitting, but that is not always possible. A second procedure may be arranged if more preparation is needed. The decision also depends on the finding and the patient’s consent. Read about hysteroscopy surgery in Andheri East before discussing the procedure with your gynaecologist.

Still unsure which type of hysteroscopy fits your situation?

Why might you need hysteroscopy?

Your doctor may bring up hysteroscopy after reviewing your symptoms, scan or fertility reports. These are four common reasons:

1. Bleeding that seems unusual

Heavy periods, bleeding between periods or bleeding after menopause may need a closer look inside the uterus. If this applies to you, the blog about bleeding after 10 years of menopause explains why a medical check is needed.

2. A polyp or fibroid on a scan

A scan can suggest that a growth is present. Hysteroscopy lets the doctor see its position more clearly. Some growths can be removed this way, while others need a different plan. You can read about uterine fibroid management on the treatment page.

3. Trouble getting pregnant

A polyp, adhesion or change in the uterine cavity may be found during a fertility assessment. Treatment is based on the finding. More information is available on hysteroscopic fertility enhancing surgery.

4. Scar tissue or retained tissue

In some cases, operative hysteroscopy can divide scar tissue or remove tissue left inside the uterus. Your gynaecologist will decide whether this method fits your situation.

Why consult Dr. Pallavi Chauhan?

Hysteroscopy is not the first step for every uterine concern. Dr. Pallavi Chauhan reviews the symptoms, available reports and relevant medical history before discussing it.

During the consultation, patients can ask why the procedure has been suggested, which type they may need and whether treatment can happen in the same sitting. Recovery instructions depend on what was done. To have your reports reviewed, book an appointment with Dr. Pallavi Chauhan.

FAQ's

Can diagnosis and treatment happen together?
Sometimes. If the doctor finds a problem that can be treated safely, both may happen in one sitting. Consent and prior planning are still needed.
Will I feel pain during hysteroscopy?
Experiences differ. Some people report cramps or discomfort. Pain relief, sedation or anaesthesia may be considered according to the procedure.
When can I go back to work?
This depends on whether the hysteroscopy was diagnostic or involved treatment. Your doctor will tell you when you can return to work and exercise.
Can hysteroscopy remove any uterine fibroid?
No. It is used for selected fibroids that extend into the uterine cavity. Their size and location help the doctor decide which treatment fits.
References

 

Disclaimer: This article provides general information and cannot diagnose a medical condition. Please consult a qualified gynaecologist for advice based on your symptoms and reports.

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Dr. Pallavi Chauhan
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