Hysteroscopy and Biopsy

A safe procedure to better diagnose a women’s reproductive health

Obstetrics & Gynecology >  Hysteroscopy and Biopsy

“You start to feel a quiet worry when something about your body just doesn’t seem normal.” At first, you might try to ignore it and wait for things to improve, but deep down, you know it’s time for a proper medical evaluation. 

When these symptoms persist, it is your body’s way of telling you something is off. In terms of abnormal uterine bleeding, polyps, fibroids, or unexplained pain, you may have a hysteroscopy and biopsy performed by your gynecologist for a more precise diagnosis.

Hysteroscopy1

What is Hysteroscopy?

A hysteroscopy is a simple and minimally invasive procedure in which the gynecologist will put a thin, lighted tube, also known as a hysteroscope, into the uterus. It’s also used for the diagnosis and treatment of issues like abnormal bleeding, constant pelvic pain, or any other problems. 

In the case of uterine bleeding or having been diagnosed with polyps and fibroids, a hysteroscopy helps understand what is happening in the uterus that is causing these issues. In a clinic setting, this is a common outpatient procedure with minimal downtime.

When and Why is Hysteroscopy Recommended?

Your doctor may suggest a hysteroscopy procedure to address issues such as:

  • Heavy or irregular menstrual cycles
  • Bleeding after menopause
  • Unexplained pelvic pain
  • Difficulty getting pregnant
  • Repeated miscarriages
  • Suspected uterine abnormalities

This procedure serves as both a diagnostic and treatment tool, which means it can identify an issue and address it during the same appointment.

Not sure if hysteroscopy is for you? Let’s talk through your symptoms together.

Hysteroscopy
Hysteroscopy

Types of Hysteroscopy Procedures

There are two main types

  • Diagnostic Hysteroscopy : This is used by doctors to examine the inside of the uterus and identify any problems.
  • Operative Hysteroscopy : Used for removal of growths like polyps or fibroids, or to do a biopsy of the uterine lining for further testing or correct anatomical abnormalities in the uterus

Hysteroscopy with Biopsy: What It Means

During a hysteroscopy, a tissue sample from inside of the uterus is taken (which is also called a biopsy). This helps rule out conditions like endometrial hyperplasia, hormonal imbalances, or early signs of cancer.

It is a simple, low-risk step in the procedure that provides important information.

How to Prepare for a Hysteroscopy Surgery

Preparation is simple: 

  • It is usually scheduled right after the menstrual cycle has ended, as the uterine lining is at its thinnest during that stage of the cycle. 
  • Before your procedure, you may be asked not to have food or drinks on that day.
  • Your physician may suggest a mild pain reliever in advance to help ease any cramping.

Hysteroscopy with Biopsy: What It Means

During a hysteroscopy, a tissue sample from inside of the uterus is taken (which is also called a biopsy). This helps rule out conditions like endometrial hyperplasia, hormonal imbalances, or early signs of cancer.

It is a simple, low-risk step in the procedure that provides important information.

How to Prepare for a Hysteroscopy Surgery

Preparation is simple: 

  • It is usually scheduled right after the menstrual cycle has ended, as the uterine lining is at its thinnest during that stage of the cycle. 
  • Before your procedure, you may be asked not to have food or drinks on that day.
  • Your physician may suggest a mild pain reliever in advance to help ease any cramping.

How the Hysteroscopy Procedure Is Done

  • Positioning: You will lie on the examination table with your feet in stirrups, similar to a standard pelvic exam.
  • Cervix Access: A speculum is inserted to gently open the vagina, and the cervix may be slightly dilated.
  • Insertion of the Scope: The physician inserts a thin, lighted tube, known as a hysteroscope, through the cervix into the uterus.
  • Uterus Expansion: Sterile fluid or gas is introduced to gently expand the uterus, providing a clearer view of the uterine lining.
  • Examination & Treatment: Your healthcare provider examines the uterus and may also do a hysteroscopy biopsy or remove fibroids and polyps as required.

Most women experience only mild discomfort during the procedure.  In some cases, anesthesia may be used. Many women describe it as feeling similar to a Pap smear, just slightly longer.

Aftercare and Recovery

Recovery is usually smooth and quick: 

  • Mild cramping or light spotting may be present for a day or two.
  • It is best to abstain from sex, douching, or the use of tampons for a few days to allow healing.
  • Most women feel better and can get back to normal routines within 24 hours.


Your gynecologist will get back to you with the results or the next steps as required.

What Can a Hysteroscopy Reveal?

This procedure can detect:

  • Uterine polyps
  • Fibroids
  • Scar tissue (Asherman’s syndrome)
  • Uterine atrophy or hyperplasia.
  • Signs of infection or cancer

Many of these issues can be addressed during the same procedure.

Schedule a personalized consultation with our gynecology specialists today.

hysteroscopy-and-biopsy

Aftercare and Recovery

Recovery is usually smooth and quick: 

  • Mild cramping or light spotting may be present for a day or two.
  • It is best to abstain from sex, douching, or the use of tampons for a few days to allow healing.
  • Most women feel better and can get back to normal routines within 24 hours.


Your gynecologist will get back to you with the results or the next steps as required.

What Can a Hysteroscopy Reveal?

This procedure can detect:

  • Uterine polyps
  • Fibroids
  • Scar tissue (Asherman’s syndrome)
  • Uterine atrophy or hyperplasia.
  • Signs of infection or cancer

Many of these issues can be addressed during the same procedure.

Schedule a personalized consultation with our gynecology specialists today.

Why Choose JTS Medical Centre For A Hysteroscopy?

JTS Medical Centre focuses on expertise, comfort, and clear guidance. Our gynecology clinic in Dubai is supported by years of specialized experience in women’s health.

  • We have a team of expert gynecologists with great experience in hysteroscopy and women’s health services in Dubai.
  • We use advanced procedures that are outcome-based to speed up recovery.
  • We are always here for you, listening, supporting, and guiding you throughout your journey.
  • Our lines of communication are always open so that you have all the answers you want.

Book an appointment with some of the best doctors in obstetrics and gynecology in Dubai. 

Hysteroscopy vs. D&C: What’s the Difference?

  • Dilation and Curettage (D&C) involves opening the cervix and then scraping the uterine lining tissues. Usually, this is done ‘blindly’, meaning the doctor does not directly view the inside of the uterus during the procedure.
  • Hysteroscopy uses a thin lighted camera to look into the uterus. This allows the doctor to see the exact problem  and perform a more precise and thorough examination.

Hysteroscopy Side Effects and Potential Risks

Although hysteroscopy is generally very safe, there is still a chance of complications that may arise during the procedure.
  • Cramping or mild pain
  • Light bleeding or spotting
  • Infection (rare)
  • Uterine perforation (very rare)
  • Reactions to anaesthesia (if used)

Hysteroscopy vs. D&C: What’s the Difference?

  • Dilation and Curettage (D&C) involves opening the cervix and then scraping the uterine lining tissues. Usually, this is done ‘blindly’, meaning the doctor does not directly view the inside of the uterus during the procedure.
  • Hysteroscopy uses a thin lighted camera to look into the uterus. This allows the doctor to see the exact problem  and perform a more precise and thorough examination.

Hysteroscopy Side Effects and Potential Risks

Although hysteroscopy is generally very safe, there is still a chance of complications that may arise during the procedure.

  • Cramping or mild pain
  • Light bleeding or spotting
  • Infection (rare)
  • Uterine perforation (very rare)
  • Reactions to anaesthesia (if used)

FAQs

Most women report that they only experience mild pain, which is similar to what they have with their periods. Anaesthesia or some pain relief will be given as needed.

Most women have vaginal bleeding upto a week or 10 days. The bleeding is slightly lesser when compared to normal periods.

The complete procedure, including preparation, can take upto 30 minutes, however the actual procedure might just take 5 to 10 minutes.

Results usually come in about 7 to 10 days. Your doctor will be in touch to go over the results.

Conditions such as polyps or fibroids can be improved with hysteroscopy, making conception easier.

Some women might notice temporary changes in their menstrual patterns if their procedure involves tissue removal. Should that happen, your gynaecologist will advise what needs to be done.

Book Your Appointment Today!