Hysteroscopy

What is Hysteroscopy?

Hysteroscopy is a modern endoscopic procedure for examining the uterine cavity.

It is performed using a thin optical instrument called a hysteroscope, equipped with a light source and a camera. The device is inserted through the vagina and cervix without the need for any abdominal incision.

This technique is considered the “gold standard” for evaluating the uterine cavity, allowing the physician to visualize the endometrium and internal structures with high precision.

Indications

• Suspected uterine polyps or submucous fibroids
• Unexplained uterine bleeding
• Uterine structural anomalies (septate or bicornuate uterus, etc.)
• Reproductive issues and recurrent miscarriages
• Suspected intrauterine adhesions (synechiae)
• Diagnosis of endometrial abnormalities
• Postoperative or post-treatment control

Hysteroscopy is also performed for therapeutic purposes — removal of pathological tissue, adhesions, or foreign bodies (e.g., intrauterine devices).

Preparation for hysteroscopy

Main preparatory steps include:

• Laboratory tests — complete blood count and coagulation profile
• Pelvic ultrasound to evaluate the uterus
• No food or liquids 6–8 hours before the procedure (if anesthesia is planned)
• Pre-procedure consultation and explanation by the physician

How the procedure is performed

Hysteroscopy is performed under sterile conditions by an experienced gynecologist.

There are two main types:

• Diagnostic hysteroscopy – for visual inspection and diagnosis
• Operative hysteroscopy – for surgical intervention (e.g., polyp removal)

It may be performed under local or general anesthesia. The hysteroscope is introduced through the cervix, and the uterine cavity is filled with a special liquid or gas to ensure a clear view.
The duration varies — approximately 10–20 minutes for diagnostic and longer for operative hysteroscopy.

After hysteroscopy

Patients are advised to:

• Avoid heavy physical activity
• Refrain from sexual intercourse
• Take prescribed medication as needed
• Attend a follow-up appointment as recommended

Hysteroscopy for polyp removal

Endometrial polyps are benign growths that can cause bleeding, infertility, or other reproductive disorders.

Hysteroscopic removal is considered the “gold standard” of treatment.

Where to perform hysteroscopy in Yerevan

At Nairi Medical Center, hysteroscopy is performed in accordance with international standards:

• State-of-the-art equipment
• Highly qualified gynecologists
• Individualized approach

To book an appointment, call 89 00 or visit Nairi Medical Center, 21 Paronyan Street.