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Reviewed by

Dr. Jyoti Sharma

Senior Consultant - Obstetrics and Gynaecology

Manipal Hospitals, Gurugram

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Hysteroscopy For Infertility: Purpose, Procedure, Risks, And Recovery

Reviewed by:

Infertility is a growing concern worldwide, affecting nearly 15% of couples trying to conceive. Among the many diagnostic and treatment options available, hysteroscopy has emerged as a highly effective procedure for detecting and addressing intrauterine abnormalities. In fact, studies suggest that hysteroscopy can increase IVF success rates by up to 20% by improving uterine conditions for implantation.

In this article, we’ll explore the purpose, procedure, risks, and recovery associated with hysteroscopy. We’ll also discuss alternative infertility treatments, lifestyle factors, and holistic approaches to enhance fertility outcomes.

Synopsis

Understanding Hysteroscopy
Hysteroscopy Procedure: Step-by-Step
Benefits of Hysteroscopy for Infertility
Potential Risks & Complications
Alternative Treatments for Infertility
Holistic Approaches to Enhance Fertility
Infertility Challenges Across Different Age Groups
Why Choose Manipal Hospital Gurugram for Hysteroscopy?
Conclusion

Understanding Hysteroscopy

Hysteroscopy is a minimally invasive procedure that allows doctors to examine and treat issues inside the uterus using a thin, lighted tube called a hysteroscope. This technique is widely used for diagnosing and correcting uterine abnormalities such as fibroids, polyps, adhesions, septums, and unexplained bleeding that may hinder pregnancy.

Types of Hysteroscopy

Type	Purpose
Diagnostic Hysteroscopy	Used to identify uterine problems affecting fertility or causing abnormal bleeding.
Operative Hysteroscopy	Used to treat uterine issues like fibroids, adhesions, and septums, often during the same procedure.

Hysteroscopy Procedure: Step-by-Step

Pre-Procedure Preparation
- Conducted in the follicular phase (after menstruation but before ovulation) for better visibility.
- Some patients may require hormonal treatment or antibiotics before the procedure.
- Fasting may be required if sedation or anaesthesia is used.
Procedure
- The doctor inserts a hysteroscope through the cervix into the uterus.
- A sterile liquid or gas is introduced to expand the uterus for better visibility.
- If abnormalities are detected, surgical instruments may be inserted to remove polyps, fibroids, or adhesions.
Post-Procedure Recovery
- Patients may experience mild cramping, light bleeding, or watery discharge for a few days.
- Most women can resume normal activities within 24 to 48 hours.
- If surgical treatment was performed, additional rest and medication may be recommended.

Benefits of Hysteroscopy for Infertility

Higher Pregnancy Rates: Hysteroscopy improves uterine health, increasing implantation success.
Enhanced IVF Outcomes: Studies show a 15-20% improvement in IVF success rates when hysteroscopy is performed before embryo transfer.
Quick Recovery: Unlike open surgeries, hysteroscopy is an outpatient procedure with minimal downtime.
Precise Diagnosis & Treatment: Unlike other diagnostic methods, hysteroscopy allows real-time visualisation of uterine abnormalities.

Potential Risks & Complications

While hysteroscopy is generally safe, it carries some risks, including:

Infection: Rare but possible.
Bleeding or cramping: Common but mild.
Uterine perforation: Very rare but requires medical intervention.
Adverse reaction to Anesthesia: Usually mild and short-lived.

Alternative Treatments for Infertility

Treatment	Description
IUI (Intrauterine Insemination)	Sperm is directly placed into the uterus to enhance fertilisation.
IVF (In Vitro Fertilization)	Eggs are fertilised outside the body and implanted in the uterus.
Laparoscopy	A surgical procedure used for diagnosing and treating endometriosis, fibroids, and blockages.
Hormonal Therapy	Used to regulate ovulation and improve egg quality.
Lifestyle Modifications	Diet, exercise, and stress management to improve fertility naturally.

Holistic Approaches to Enhance Fertility

Diet & Nutrition
- Increase intake of antioxidant-rich foods (berries, nuts, and leafy greens).
- Maintain a healthy BMI, as both underweight and overweight conditions can impair fertility.
- Reduce processed foods, excessive caffeine, and alcohol.
Exercise & Stress Management
- Regular, moderate exercise improves circulation and hormonal balance.
- Yoga and meditation help reduce stress, which can negatively impact conception.
- Acupuncture has shown benefits in improving ovarian function and uterine receptivity.
Lifestyle Adjustments
- Avoid smoking, which is linked to lower fertility rates in both men and women.
- Reduce exposure to environmental toxins and endocrine disruptors found in plastics and chemicals.

Infertility Challenges Across Different Age Groups

Younger Women (20s-30s): More likely to have hormonal imbalances or lifestyle-related infertility.
Older Women (40+): More likely to have diminished ovarian reserve or uterine abnormalities.
High-Risk Groups: Women with PCOS, endometriosis, diabetes, or thyroid disorders require specialised fertility care.

Male Infertility & Its Role

While hysteroscopy is primarily a treatment for female infertility, male factor infertility accounts for nearly 40–50% of cases. Factors such as low sperm count, poor motility, and DNA fragmentation play a crucial role in conception. Semen analysis and lifestyle modifications are essential for addressing male fertility concerns.

Why Choose Manipal Hospital Gurugram for Hysteroscopy?

Advanced Technology: Cutting-edge hysteroscopic techniques for accurate diagnosis and treatment.
Expert Gynecologists & Fertility Specialists: Personalised fertility solutions tailored to individual needs.
Comprehensive Care: From initial consultation to post-procedure follow-ups, ensuring holistic fertility care.
High Success Rates: Proven track record of improving pregnancy rates in couples struggling with infertility.

Conclusion

Hysteroscopy is a game-changing procedure for diagnosing and treating uterine abnormalities, significantly enhancing fertility outcomes. Whether you're undergoing IVF or trying to conceive naturally, a well-functioning uterus is key to a successful pregnancy.

For those seeking top-tier fertility care, Manipal Hospital Gurugram offers world-class hysteroscopic treatments, expert consultations, and a patient-centred approach. If you're facing fertility challenges, consult with a specialist today and take the first step towards parenthood!