Diagnostic and Operative Hysteroscopy: When Is It Needed?

Dr. Karim Kamal, Consultant of Obstetrics, Gynecology, IVF, Female Endoscopy, and High-Risk Pregnancy, explains the importance of hysteroscopy as a precise and minimally invasive tool used to diagnose and treat many uterine issues—especially in cases of infertility, recurrent miscarriage, or unexplained uterine bleeding.

In this article, Dr. Karim Kamal walks us through when hysteroscopy is necessary, its benefits, and how it’s safely performed.

 What Is Hysteroscopy?

Hysteroscopy is a procedure that involves inserting a thin tube with a camera (hysteroscope) through the cervix to view the inside of the uterus. It can be used for diagnostic or operative purposes, without requiring any surgical incisions.

 When Is Hysteroscopy Needed?

According to Dr. Karim Kamal, hysteroscopy is particularly useful in the following cases:

• Unexplained infertility

• Recurrent miscarriages

• Irregular or heavy uterine bleeding

• Suspected polyps or intrauterine adhesions

• Evaluation before IVF procedures

• Post-surgical follow-up

Diagnostic vs. Operative Hysteroscopy

1. Diagnostic Hysteroscopy:

Used solely to observe and identify any abnormalities inside the uterus, such as septum, fibroids, or adhesions.

2. Operative Hysteroscopy:

Used to treat issues like removing polyps, cutting adhesions, or cauterizing bleeding areas.

Dr. Karim Kamal explains that often, both diagnostic and operative hysteroscopy can be performed in the same session if needed.

 Advantages of Hysteroscopy With Dr. Karim Kamal

• Short procedure (15–30 minutes)

• No incisions or hospital stay

• High safety profile with minimal complications

• Highly accurate diagnosis of hidden causes of infertility

• Can significantly improve IVF success in selected cases

 Conclusion

Hysteroscopy is a simple yet crucial tool in diagnosing and treating uterine abnormalities that could hinder pregnancy. Dr. Karim Kamal emphasizes that performing hysteroscopy at the right time can dramatically improve fertility outcomes and resolve long-standing gynecological concerns.