It is slender lighted telescope, passed through vagina (no cut in tummy) in to the uterine cavity. Usually it is done under short general or spinal anaesthesia in operation theatre. It can also be done under local anaesthesia. With this scope doctor can inspect the uterine cavity and locate if any growth or polyp inside the uterine cavity. Any growth like polyp, fibroid inside the uterus can be removed through Hysteroscopy. Septum inside the uterus can be resected. Blocked tubes can be cannulated through Hysteroscopy. After Hysteroscopic surgeries, patients will be discharged on the same day. They can be back to work on the next day itself

When a Hysteroscopy may be carried out

A hysteroscopy can be used to:

• Investigate symptoms or problems such as heavy periods, unusual vaginal bleeding, postmenopausal bleeding. 
• Repeated Miscarriages or difficulty in getting pregnant
• Diagnose conditions such as fibroids and polyps (non-cancerous growths in the womb)
• Treat conditions and problems such as removing fibroids, polyps, displaced intrauterine devices (IUDs) and intrauterine adhesions (scar tissue that causes absent periods and reduced fertility) and septum.

A procedure called dilatation and curettage (D&C) used to be commonly used to examine the womb and remove abnormal growths, but nowadays Hysteroscopies are carried out instead.