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Expert Hysteroscopy in London

Minimally invasive diagnostic and surgical procedure that allows gynaecologists to examine the inside of the uterus and identify or treat various conditions affecting fertility and reproductive health.

HyCoSy Scan is an alternative to HSG

Latest Technology Hysteroscopy

Our expert Consultant Gynaecologists at London Pregnancy Clinic specialise in reproductive medicine and fertility assessment. Hysteroscopy is often recommended for patients who have experienced difficulties in conceiving or are facing other gynaecological concerns.

During the hysteroscopy, one of our experienced gynaecologists will carefully insert a slim, lighted telescope-like instrument called a hysteroscope through the vagina and cervix into the uterus. The hysteroscope features a camera that provides a detailed view of the uterine cavity on a screen, enabling our clinician to thoroughly assess the uterine lining and identify any abnormalities.

Advanced fertility assessment at London Pregnancy Clinic

Hysteroscopy is a minimally invasive medical procedure that allows gynaecologists to examine the interior of the uterus using a thin, lighted telescope-like instrument called a hysteroscope. The test is performed to assess the health of the uterine cavity, which is crucial for a successful pregnancy.

Choose London Pregnancy Clinic for your Hysteroscopy in London

  • We use the latest LiNA Hysteroscope for optimal screening performance

  • We are experts in fertility and reproductive medicine with over 30 years of experience

  • 5* rated service on Doctify, TrustPilot and Google

  • Same day, evening and weekend appointments

  • Report, referral and images from the scan are available immediately after the scan on our secure cloud system

Hysteroscopy explained

A hysteroscopy procedure typically takes 15 to 45 minutes and is performed by a Consultant Gynaecologist at our London Pregnancy Clinic. During the procedure, the patient is given general anaesthesia to ensure comfort and is positioned on an examination table with the legs supported by stirrups.

The Gynaecologist will gently insert a thin, lighted telescope-like instrument called a hysteroscope through the vagina and cervix into the uterus. The hysteroscope is equipped with a small camera that projects images of the uterine cavity onto a screen, allowing the clinician to thoroughly examine the uterine lining for any abnormalities.

If necessary, the Gynaecologist may also insert small surgical instruments through the hysteroscope to perform minor procedures, such as removing polyps, fibroids, or adhesions, or collecting tissue samples for biopsy. A sterile fluid, such as saline, may be introduced through the hysteroscope to expand the uterine cavity and enhance visualisation.

HyCoSy scan at London Pregnancy Clinic

Frequently Asked Questions

You have a question? We have an answer.

When is the best time to do a hysteroscopy?

The best time to perform a hysteroscopy depends on the individual patient’s situation and the reason for the procedure. However, in general, hysteroscopy is often scheduled during the first half of the menstrual cycle, typically between days 5 and 12, when the endometrial lining is thinnest.

Performing a hysteroscopy during this phase of the menstrual cycle allows for better visualisation of the uterine cavity, as the thin endometrial lining provides a clearer view of any abnormalities or irregularities. This timing also reduces the risk of interference from menstrual bleeding, which can obscure the view during the procedure.

However, there are some circumstances in which a hysteroscopy may be performed at other times during the menstrual cycle or even while a patient is experiencing menstrual bleeding. These situations may include:

  1. Urgent or emergency cases, such as severe abnormal uterine bleeding
  2. When the procedure is being used to investigate or treat specific conditions that are not dependent on the menstrual cycle phase
  3. When the patient is postmenopausal and does not have regular menstrual cycles

Ultimately, the timing of a hysteroscopy will be determined by the Consultant Gynaecologist at London Pregnancy Clinic based on the patient’s individual needs, medical history, and the purpose of the procedure. Our experienced medical team will work closely with each patient to determine the most appropriate timing for their hysteroscopy to ensure the best possible outcomes.

What is an indication to do a hysteroscopy?

There are several indications for performing a hysteroscopy, as this minimally invasive procedure is a valuable diagnostic and therapeutic tool in the field of gynaecology. One of the most common reasons to undergo a hysteroscopy is to investigate and treat abnormal uterine bleeding, which may be caused by various factors such as polyps, fibroids, or endometrial hyperplasia. By directly visualising the uterine cavity, a Consultant Gynaecologist can identify the source of the bleeding and take appropriate action, such as removing polyps or fibroids, or collecting tissue samples for further analysis.

Another significant indication for hysteroscopy is in the context of fertility investigations and treatment. Uterine abnormalities, such as adhesions, septums, or a misshapen uterine cavity, can impact a woman’s ability to conceive or maintain a healthy pregnancy. By performing a hysteroscopy, a gynaecologist can diagnose these issues and, in many cases, treat them during the same procedure. This can improve fertility outcomes and increase the chances of a successful pregnancy. Additionally, hysteroscopy may be recommended for women experiencing recurrent miscarriages, as it can help identify any uterine factors that may be contributing to pregnancy loss.

Is a Hysteroscopy painful?

The level of discomfort experienced during a hysteroscopy can vary from person to person, but in general, the procedure is well-tolerated and not significantly painful. At London Pregnancy Clinic, our Consultant Gynaecologists typically perform hysteroscopy under general anaesthesia, which means that the patient is completely asleep and does not feel any pain during the procedure. This ensures a comfortable and stress-free experience for our patients, allowing them to undergo the examination without any undue discomfort or anxiety.

In some cases, a hysteroscopy may be performed under local anaesthesia or with minimal sedation. While this approach may cause some mild discomfort or cramping, similar to that experienced during a menstrual period, it is usually short-lived and can be managed with over-the-counter pain relief medications. After the procedure, patients may experience some spotting or light bleeding, as well as minor abdominal discomfort, but these symptoms typically resolve within a few days. Our experienced medical team at London Pregnancy Clinic will provide detailed post-procedure care instructions and be available to address any concerns or questions that may arise during the recovery process.

How soon after a Hysteroscopy can I try to conceive?

The timing of conception after a hysteroscopy depends on the specific reason for the procedure and the nature of any treatment performed during the examination. In many cases, patients can resume trying to conceive immediately after the procedure, as hysteroscopy itself does not typically affect fertility. For example, if the hysteroscopy was performed for diagnostic purposes and no abnormalities were found, or if minor corrections were made to the uterine cavity, such as removing small polyps or adhesions, there is usually no need to delay attempting pregnancy.

However, if more extensive treatment was necessary during the hysteroscopy, such as the removal of larger fibroids or the correction of significant uterine anomalies, your Consultant Gynaecologist at London Pregnancy Clinic may recommend waiting for a specific period before trying to conceive. This waiting period allows the uterus to heal properly and ensures that the endometrial lining has sufficient time to regenerate, creating an optimal environment for implantation and pregnancy. In such cases, your gynaecologist will provide personalised advice on when it is safe and appropriate to start trying for a baby based on your individual circumstances and the specifics of your hysteroscopy procedure.

What are the risks associated with a hysteroscopy?

Hysteroscopy is generally considered a safe and minimally invasive procedure, with a low risk of complications. However, as with any medical intervention, there are some potential risks to be aware of. These may include infection, bleeding, damage to the uterus or cervix, or adverse reactions to the anaesthesia. In rare cases, more serious complications such as uterine perforation or damage to surrounding organs may occur.

At London Pregnancy Clinic, our experienced Consultant Gynaecologists take every precaution to minimise the risk of complications during hysteroscopy. We use state-of-the-art equipment and follow strict protocols to ensure patient safety. Additionally, our medical team will thoroughly assess each patient’s individual risk factors and medical history before the procedure to identify and mitigate any potential concerns.

      How long does it take to recover from a hysteroscopy?

      Recovery time after a hysteroscopy varies depending on the individual patient and the specifics of their procedure. In most cases, patients can return home the same day as the procedure and resume normal activities within a few days. It is common to experience some mild cramping, spotting, or light bleeding for a few days following the hysteroscopy, but this should subside quickly.

      Our medical team at London Pregnancy Clinic will provide detailed post-procedure care instructions, including guidance on pain management, activity restrictions, and when to seek medical attention if necessary. We recommend that patients take it easy for the first 24-48 hours after the procedure and avoid strenuous activities or sexual intercourse until any discomfort or bleeding has resolved. If you have any concerns or questions during your recovery, our team is always available to provide support and advice.

      Can a hysteroscopy be used to treat infertility?

      Hysteroscopy can play a crucial role in diagnosing and treating various uterine conditions that may contribute to infertility. By allowing direct visualisation of the uterine cavity, a hysteroscopy can help identify abnormalities such as polyps, fibroids, adhesions, or septums that may interfere with conception or implantation. In many cases, these issues can be addressed during the hysteroscopy procedure, improving the chances of a successful pregnancy.

      Additionally, hysteroscopy can be used in conjunction with other fertility treatments, such as in vitro fertilisation (IVF), to optimise the uterine environment before embryo transfer. By ensuring that the uterine cavity is healthy and free from any obstructions or abnormalities, the likelihood of successful implantation and pregnancy may be increased. Our Consultant Gynaecologists at London Pregnancy Clinic will work closely with patients to determine whether a hysteroscopy is an appropriate option for their specific fertility concerns and develop a personalised treatment plan to help them achieve their goal of parenthood.

      Is hysteroscopy covered by NHS or private health insurance?

      The coverage of hysteroscopy under the NHS or private health insurance varies depending on the individual patient’s circumstances and the specific policies of their healthcare provider. In some cases, a hysteroscopy may be covered by the NHS if it is deemed medically necessary for the diagnosis or treatment of a specific gynaecological condition. However, eligibility criteria and waiting times can vary depending on the region and the severity of the patient’s condition.

      For patients with private health insurance, coverage for hysteroscopy will depend on the specific terms and conditions of their policy. Some insurance plans may cover the procedure in full, while others may require a co-payment or have certain exclusions. At London Pregnancy Clinic, we understand that navigating healthcare coverage can be complex, which is why our dedicated patient support team is available to assist you in understanding your options and working with your insurance provider to ensure you receive the care you need.

      How does a hysteroscopy differ from other gynaecological procedures?

      Hysteroscopy is a unique gynaecological procedure that allows direct visualisation of the inside of the uterus, providing valuable diagnostic information and enabling targeted treatment of various uterine conditions. Unlike other imaging techniques such as ultrasound or MRI, hysteroscopy offers a real-time, high-resolution view of the uterine cavity, allowing the identification of even subtle abnormalities that may be missed by other methods.

      Compared to more invasive surgical procedures, such as laparoscopy or open surgery, hysteroscopy is a minimally invasive option that typically involves less pain, shorter recovery times, and reduced risk of complications. The procedure is performed through the vagina and cervix, eliminating the need for incisions on the abdomen. This makes hysteroscopy an attractive choice for patients seeking an efficient and low-impact way to address their gynaecological health concerns. Our team at London Pregnancy Clinic is committed to providing the most advanced and patient-centred care, and we will work with you to determine whether a hysteroscopy is the most appropriate option for your unique needs.

      What other fertility tests are available at London Pregnancy Clinic?

      At London Pregnancy Clinic, we are specialists in fertility and reproductive medicine. For a more round picture of your fertility profile, our gynaecologists could recommend other examinations such as AMH test, or our full fertility health assessment package.

      What is the cost of a Hysteroscopy in London?

      At London Pregnancy Clinic the cost of a HyCoSy scan is £1,780 (+£30 surcharge on weekends or after 6pm) – this is all inclusive with no hidden fees.  Hysteroscopy is a highly specialised procedure, and requires expertise in gynaecology and specialised single use medical equipment. Our hysteroscopies are offered in partnership with Spital Clinic Hysteroscopy.

      Who is present during Hysteroscopy?

      During a hysteroscopy at London Pregnancy Clinic, the procedure is typically performed by a highly skilled and experienced Consultant Gynaecologist who specialises in minimally invasive gynaecological surgery. In addition to the primary surgeon, there will be a dedicated team of healthcare professionals present to ensure patient safety and comfort throughout the procedure. This team may include an anaesthetist to administer and monitor general anaesthesia, nurses to assist with the procedure and provide patient care, and a surgical technician to manage the equipment and instruments used during the hysteroscopy. Our clinic prioritises a patient-centred approach, and we ensure that every member of the medical team is highly trained and committed to providing the highest standard of care to our patients undergoing hysteroscopy or any other gynaecological procedure.


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