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Clinical Gynecology

Clinical Gynecology


Hysteroscopy is a gynecological procedure in which a special optical device (hysteroscope) is used to inspect the uterine cavity under direct visual control.


The procedure is performed in a manipulation room specially equipped for the purpose, with specific instruments, by a highly qualified AG specialist under anesthesia.


Hysteroscopy is performed in the first days after the end of the menstrual cycle, when the lining of the uterus is thin. There is no need for special preliminary preparation on the part of the patient and no hospital stay is required. Due to the nature of manipulation, however, there is a need for planning.



The most common indcations for performing hysteroscopy are:


  • Abnormal uterine bleeding;
  • Increased thickness of the endometrium;
  • Suspicion for polyps or myoma nodules (fibroids) in the uterine cavity;
  • Sub-/infertility;
  • Anatomical uterine defects (septa, bicornuate uterus, etc.);
  • Adhesions in the uterine cavity after intrauterine manipulations (Asherman syndrome), etc;
  • Removal of a foreign body in the uterine cavity under visual guidance (IUD, etc.).

According to the volume of the planned intervention, hysteroscopy is diagnostic and operative.


The procedure has a diagnostic character, when only the uterine cavity, mucous membrane and internal openings of the fallopian tubes are examined. In the presence of pathology (endometrial polyps, submucosal fibroid nodes, adhesions, areas with hyperplasia, bleeding vessels, residues, etc.), operative hysteroscopy is performed. In these cases, special instruments are used that pass through the working channels of the hysteroscope. In this way, the relevant problem area is removed (polypectomy, myomectomy, adhesion, etc.) and material (biopsy) is taken for histological examination.


For more information about the necessity and possibility of performing a diagnostic or operative hysteroscopy at MC MARKOVS, you can contact your doctor or call at the registration desk.