Hysteroscopy Surgery: Meaning, Procedure, Cost & Test

• 09 Sep, 2025
• IVF and Infertility
• infertility
• Medically Reviewed By: Dr. Nishi Singh
• Author: Prime IVF Centre

Many women face heavy periods, infertility, repeated miscarriages, or uterine growths. For clear answers and proper care, gynecologists often suggest a hysteroscopy. This minimally invasive test lets gynecological surgeons see the womb from inside. The close look finds the root causes of the issue and guides gentle, focused treatment steps. If you want expert care with modern techniques, Prime IVF Centre in Delhi NCR welcomes you. Our gynecologists and infertility specialists work together with careful, patient-first methods. They aim for safe hysteroscopy surgery with higher success rates, improving women’s reproductive health.

Demystifying the concept of the Hysteroscopy procedure

Hysteroscopy meaning is that it is a surgical operative process involving the insertion of a hysteroscope (a thin and lightweight instrument) through the vagina and cervix into the uterus. The hysteroscope instrument is used for capturing images within the uterus and transmitting them to the monitor screen. Thus, it helps surgeons make a precise diagnosis of the uterine cavity without any external incisions.

Based on the medical purpose, there are two types of hysteroscopy. 

Diagnostic hysteroscopy

It is used to identify symptoms like heavy menstrual bleeding, infertility, or any abnormalities in the uterus. 

Operative hysteroscopy 

It is performed to treat certain gynecological conditions, such as fibroids, polyps, adhesions, and septum removal. 

Essential tests conducted before Hysteroscopy Surgery 

Gynecologists usually recommend a few diagnostic tests before performing hysteroscopy to ensure the safety of the procedure, proper planning of treatment, and minimise overall risks.

Blood tests

• Complete blood count test for checking overall health 
• The sugar test is usually important for diabetic patients 
• Coagulation profile test to ensure blood clotting is normal and reduce the risk of bleeding 
• Blood grouping and typing tests are required in case a blood transfusion is required. 

Urine tests

• Routine urine analysis to rule out urinary tract infections.
• A pregnancy test is mandatory before undergoing hysteroscopy.

Imaging tests

• A transvaginal ultrasound test helps in getting a preliminary view of the uterus to detect fibroids, polyps, or any kind of abnormalities in the uterus region.
• A pelvic ultrasound for additional information regarding the uterine and ovarian structures of the patient.
• MRI is often conducted (if advised by the gynecologist) for complicated cases to procure a detailed assessment of the uterine abnormalities.

Administering the Hysteroscopy surgery 

Hysteroscopy is a minimally invasive surgical procedure performed in an advanced gynecological clinic with no requirement for external incisions, enabling surgeons to diagnose and treat uterine conditions thoroughly.

In Prime IVF Centre, our surgeons are equipped with advanced technologies and globally approved treatment protocols for improved visualisation in the hysteroscopy procedure. We ensure the use of only FDA-certified surgical and procedural tools for maintaining diagnostic accuracy and patient safety. Here’s how hysteroscopy test is administered at our clinic.

Preoperative Preparation for Hysteroscopic Intervention

Pre-operative preparation helps in conducting a safe, accurate, and successful hysteroscopy procedure.

Medical observation 

A scrutinised analysis of the medical history of the patient is conducted alongside an accurate gynecological examination.

A thorough discussion of the gynecological symptoms (like abnormal bleeding, infertility, and miscarriages) with the patient is mandatory for a better understanding of their condition.

After a thorough medical observation, some diagnostic tests (for example, blood tests, uterine tests, and imaging tests) are administered to evaluate the optimal condition of the patient to undergo hysteroscopy.

Operational scheduling 

From a gynaecologist's perspective, hysteroscopy is usually scheduled a couple of days after menstruation because during this period, the uterine lining is thin to provide a clear visibility. 

Pre-anaesthesia credibility

Anaesthesia is not required for diagnostic hysteroscopy. However, it is mandatory for patients undergoing an operative hysteroscopy because it requires additional evaluation, such as an ECG and chest X-ray, to determine heart conditions. Surgeons consult with an anaesthetist to determine whether the patient is medically fit to undergo anaesthesia for the surgery. 

Pre-surgery guidelines 

At Prime IVF, our gynecologists usually suggest the following guidelines before undergoing the hysteroscopy surgery.

• Fasting for around 6 to 8 hours is advised before general anaesthesia. 
• Patients are strictly prohibited from using any vaginal products like creams, tampons, and douches, 1 to 2 days before the procedure. 

Step-by-step procedure of Hysteroscopy 

After the preparatory stage, a chronological surgical procedure is followed, as explained below.

Step 1: Anaesthesia process 

Anaesthesia is conducted based on the purpose of the hysteroscopy. Diagnostic hysteroscopy often requires regional anaesthesia with mild sedation, while operative hysteroscopy requires general anaesthesia. 

Step 2: Patient positioning and cervical dilation

As in the case of a pelvic exam, the patient is placed in a lithotomy position in hysteroscopy, too. Gently, a speculum is inserted into the vagina for cervical accessibility.The cervix is required to be slightly wide open for the smooth passage of the hysteroscope.

Step 3: Hysteroscopy insertion and uterus evaluation 

The gynecological surgeon slowly inserts the hysteroscope instrument through the cervix into the uterus to understand the uterus's shape and condition, and the fallopian tubes. With this diagnosis, fibroids, adhesions, or polyps can be easily identified. In Prime IVF Centre, our experienced gynecologists use rigid hysteroscopes for high-quality images in operative procedures and flexible hysteroscopes for easy navigation in the case of diagnostic hysteroscopy. They also use innovative technologies, such as a fibre optic and HD camera system for magnified images of the uterus, and LED Xenon light sources for high-power illumination and enhanced uterus visibility.

The duration of the operative heteroscopy surgery depends on the operational complexity. A gynecological surgeon usually takes around 15 to 20 minutes for simple polyp removal, about 30 to 60 minutes for fibroid removal, and more than 1 hour for complicated reconstructive procedures in the uterus. Meanwhile, diagnostic hysteroscopy has a shorter duration, of about 5-10 minutes. In case it’s paired with other advanced diagnostic procedures like laparoscopy, it may take from 30 minutes to an hour.

Recovery after Hysteroscopy surgery

For 2 to 3 days after undergoing the hysteroscopy procedure, mild cramping and spotting are common and they subside on their own in a few days. In order to prevent infection and relieve pain, antibiotics and painkillers are often recommended by gynecologists. Surgeons strictly advise avoiding any strenuous activity, using tampons, and sexual intercourse for at least a week after hysteroscopy.

Evaluating the cost of a Hysteroscopy surgery

The hysteroscopy cost varies widely, depending on the medical procedure and clinical facilities. Here’s a detailed cost breakdown of the heteroscopy surgical procedure in India.

We at Prime IVF Centre offer affordable hysteroscopy packages with no hidden charges. Here, comprehensive services are available, beginning right from consultation to post-procedural care, all under experienced vigilance. Highly experienced and skilled gynecologists and infertility specialists ensure safe, globally-acclaimed, and technology-induced hysteroscopy surgery with higher success rates at affordable prices.

Conclusion

Amongst gynaecological procedures, hysteroscopy is one of the most common minimally invasive options that offers both diagnostic and surgical treatment benefits. It is not only used for investigating if the patient is undergoing any abnormal bleeding, treating fibroids or polyps, but also for effective fertility treatment.

For women seeking expert advice for any gynaecological issues, visit Prime IVF Centre. Led by Dr. Nishi Singh, our clinic has a team of internationally-acclaimed surgeons and infertility specialists, state-of-the-art technology, and transparent pricing for your utmost convenience. Book a consultation today!