Identifying the cause of infertility often requires looking beyond routine examinations. At Aspire Fertility Center, we use hysteroscopy for infertility to directly examine the uterine cavity and detect conditions that standard tests may miss. This diagnostic tool reveals uterine abnormalities that can prevent conception or cause recurrent pregnancy loss.
What Is Hysteroscopy?
The Hysteroscopy Procedure Explained
A hysteroscope is a thin, lighted instrument inserted through the cervix into the uterus. The hysteroscopy procedure provides direct visualization of the uterine cavity, allowing specialists to identify structural problems and tissue abnormalities in real time.
This differs from ultrasound or X-ray imaging, which provides indirect views. Direct observation means conditions are identified with greater accuracy.
When to Consider Hysteroscopy
We recommend hysteroscopy for infertility in these situations:
- Unexplained infertility after one year of trying to conceive
- Two or more consecutive miscarriages
- Failed IVF cycles despite transferring quality embryos
- Abnormal findings on ultrasound or other imaging tests
- Irregular uterine bleeding
The procedure takes 10 to 30 minutes and can be performed in our clinic with local anesthesia or mild sedation.
Conditions Detected by Hysteroscopy
Uterine Polyps
Polyps are growths on the endometrial lining. Even small polyps can prevent embryo implantation. They often show no symptoms, making them difficult to detect without direct examination.
During the hysteroscopy procedure, polyps can be removed immediately. Research shows polyp removal improves pregnancy rates in women undergoing fertility treatment.
Submucosal Fibroids
Submucosal fibroids grow into the uterine cavity and distort its shape. These uterine abnormalities interfere with implantation and are sometimes missed on ultrasound alone.
Hysteroscopy identifies these fibroids clearly, and they can often be removed during the same procedure using specialized instruments.
Intrauterine Adhesions
Also called Asherman’s syndrome, these are bands of scar tissue inside the uterus. Adhesions typically form after uterine surgery (such as D&C) or infections.
The scar tissue reduces the space available for embryo implantation and fetal growth. Women may notice lighter periods or no periods at all. Hysteroscopy is the standard method for both diagnosing and treating this condition.
Uterine Septum
A uterine septum is a tissue wall that divides the uterus, present from birth. It’s one of the most common congenital uterine abnormalities and increases the risk of miscarriage and preterm delivery.
The septal tissue has poor blood supply, making it unsuitable for embryo implantation. Hysteroscopic septoplasty can remove the septum, and medical literature shows improved outcomes after correction.
Endometrial Issues
Conditions like endometrial hyperplasia (excessive thickening of the uterine lining) or irregular tissue growth can prevent proper implantation. Hysteroscopy allows for direct examination and tissue sampling when needed.
Chronic Endometritis
This is persistent inflammation of the uterine lining, usually from bacterial infection. Unlike acute infection, chronic endometritis often has no obvious symptoms.
The inflammation creates an unfavorable environment for embryos. Studies link chronic endometritis to implantation failure and miscarriage. During hysteroscopy, signs like tissue redness or small hemorrhages can be seen, and a biopsy confirms the diagnosis. Antibiotic treatment typically resolves the infection.
Why Hysteroscopy Matters in Fertility Treatment
Direct Diagnosis
Hysteroscopy for infertility provides direct observation rather than interpretation of images. This accuracy allows for treatment plans based on confirmed findings rather than suspected conditions.
Identifying and treating uterine abnormalities before fertility treatments like IUI or IVF can improve outcomes.
Diagnosis and Treatment Combined
Many problems found during diagnostic hysteroscopy can be treated immediately. Polyps, small fibroids, adhesions, and septa are often removed during the same visit, reducing the need for additional procedures.
Minimal Invasiveness
The hysteroscopy procedure requires no external incisions. The hysteroscope enters through the natural cervical opening, causing minimal tissue disruption. Most patients return to regular activities within one to two days.
The Hysteroscopy Process
Before the Procedure
At our female infertility treatment center in Bangalore, we schedule hysteroscopy after your period ends, when the uterine lining is thinnest. We review your medical history and medications beforehand and answer your questions.
Most procedures use local anesthesia or mild sedation. Deeper sedation is available if preferred.
During the Procedure
The procedure takes 10 to 30 minutes. After inserting the hysteroscope through the cervix, we use sterile fluid to expand the uterine cavity for clear visibility. You may feel cramping similar to menstrual cramps.
We explain findings as we examine the uterus.
After the Procedure
You’ll rest briefly before going home. Mild cramping and light spotting for one to two days is normal. It is advisable to rest for the rest of the day. Most patients return to work the following day.
We schedule a follow-up to discuss findings and next steps.
Aspire Fertility Center’s Approach
Experienced Team Led by Dr. Ashwini G. B.
Aspire Fertility Center is led by Dr. Ashwini G. B., our Founder and Clinical Director. Our fertility specialists have extensive training in reproductive medicine and performing hysteroscopy procedures to identify uterine abnormalities.
We conduct thorough diagnostic evaluations before recommending treatment. Hysteroscopy for infertility gives us clear information about your uterine health, allowing us to create treatment plans based on your specific situation.
Next Steps
If you’re experiencing infertility or recurrent pregnancy loss, hysteroscopy may identify the underlying cause. The uterine abnormalities this procedure detects—polyps, fibroids, adhesions, septa, and chronic inflammation—are treatable conditions.
Contact Aspire Fertility Center to discuss whether hysteroscopy is appropriate for your situation.
Contact Aspire Fertility Center
Call: 080-42121313 | 9620004610 | 9620006410
Email: info@aspirefertility.in
HSR Layout: No 2, 19th Main, 4th Sector, HSR Layout, Bangalore 560102
Sarjapur-Marathahalli: 4th Floor, Within NATUS Hospital, 20/13, Sarjapur – Marathahalli Rd, Carmelaram, Janatha Colony, Doddakannelli, Bengaluru, Karnataka 560035
Frequently Asked Questions
Q1: Is hysteroscopy painful?
A1: Most women experience cramping similar to menstrual cramps during the procedure. At Aspire Fertility Center, we use local anesthesia or mild sedation to minimize discomfort. The cramping is temporary and lasts only during the procedure itself. Individual experiences vary, but most patients find the procedure tolerable.
Q2: How long is the recovery period after hysteroscopy?
A2: Recovery is typically quick. Most patients resume normal activities within 24 to 48 hours. You may have mild cramping and light spotting for a day or two. We recommend resting on the day of the procedure. Most women return to work the next day.
Q3: Can hysteroscopy improve my chances of getting pregnant?
A3: Hysteroscopy improves pregnancy chances by identifying and treating conditions that prevent conception. Medical literature shows that correcting uterine abnormalities through hysteroscopy leads to better pregnancy rates. We usually recommend waiting one menstrual cycle after the procedure before trying to conceive, allowing the uterus to heal completely.
Q4: How does hysteroscopy differ from an ultrasound?
A4: Ultrasound creates images using sound waves and provides an external view. It may miss small polyps, thin adhesions, or subtle tissue changes. Hysteroscopy provides direct visualization inside the uterus with high clarity. It also allows for tissue biopsies and treatment during the same procedure, which ultrasound cannot do.
Q5: Will my insurance cover hysteroscopy for infertility?
A5: Coverage depends on your insurance plan and the medical reason for the procedure. Many plans cover diagnostic hysteroscopy when there’s documented medical necessity, such as abnormal bleeding, recurrent miscarriage, or abnormal test results. Our team at Aspire Fertility Center verifies insurance benefits before scheduling and can discuss payment options. Contact your insurance provider for specific coverage details.
