Operative hysteroscopy is used to correct an abnormal condition that has been detected during a diagnostic hysteroscopy. If an abnormal condition was detected during the diagnostic hysteroscopy, an operative hysteroscopy can be performed at the same time, avoiding the need for a second surgery. During operative hysteroscopy, small instruments used to correct the condition are inserted through the hysteroscope. Such as mention above.

Your doctor may perform hysteroscopy to correct the following uterine conditions:

• Polyps and fibroids: Hysteroscopy is used to remove these non-cancerous growths found in the uterus cavity.
• Adhesions: Also known as Asherman’s Syndrome, uterine adhesions are bands of scar tissue that can form in the uterus and may lead to changes in menstrual flow as well as infertility. Hysteroscopy can help the doctor to locate and remove the adhesions.
• Septums: Hysteroscopy can help determine whether patient has a uterine septum, a malformation (defect) of the uterus that is present from birth.
• Abnormal bleeding: Hysteroscopy can help identify the cause of heavy or lengthy menstrual flow, as well as bleeding between periods or after menopause. Endometrial ablation is one procedure in which the hysteroscope, along with other instruments, is used to destroy the uterine lining in order to treat some causes of heavy bleeding
• If a patient found with blockage of tubes with HSG report, with the hysteroscopy method can be unblock the procedure called Tubal Cannulation.

The doctor may recommend scheduling the hysteroscopy for the first week after your menstrual period. This timing will provide the doctor with the best view of the inside of the uterus cavity. Hysteroscopy is also performed to determine the cause of unexplained bleeding or spotting in postmenopausal women.

Although there are many benefits associated with hysteroscopy, it may not be appropriate for some patients. A doctor who specializes in this procedure will consult with primary care physician to determine whether it is appropriate for patient.

Compared with other more invasive procedures, hysteroscopy may provide the following advantages:

• Shorter hospital stay mostly less than a day.
• Shorter recovery time.
• Less pain medication needed after surgery.
• Avoidance of hysterectomy.
• Possible avoidance of "open" abdominal surgery.

Hysteroscopy is a relatively safe procedure. However, as with any type of surgery, complications are possible. With hysteroscopy, complications occur in less than 1% of cases and can include:

• Risks associated with anesthesia..
• Infection.
• Heavy bleeding.
• Injury to the cervix, uterus, bowel or bladder.
• Intrauterine scarring.
• Reaction to the substance used to expand the uterus.