Hysteroscopy is a simple procedure to visualize the cervical canal and the inside of the uterus using a thin, lighted, flexible tube designated as hysteroscope. The device is inserted through the vagina and can be used as a diagnostic, as well as a therapeutic tool. The procedure can be performed in the office, especially if it is used for diagnostic procedures only (office hysteroscopy), Or under anaesthesia in order to remove a polyp, fibroid, adhesions or septum.

This procedure is performed under general anesthesia to check tubal patency by transcervical injection of methylene blue dye. This procedure remains the “gold standard” for the accurate assessment of tubal patency. Visualization of the pelvic cavity by laparoscopy is necessary to ascertain tubal patency, adnexal adhesions, and ovarian mass.

Some procedures like lysis of adhesions, salpingectomy, ovarian cystectomy, cauterization or vaporization of endometriotic implants) can be performed at the time of the diagnostic procedure itself.