Hysteroscopy Surrey | Diagnostic & Operative | Mr Kar

Hysteroscopy is a minimally invasive procedure that allows direct visualisation of the inside of the womb (uterus) using a thin telescope with a camera. It is one of the most valuable tools in gynaecology for both diagnosing and treating conditions affecting the uterine cavity. As a Consultant Gynaecologist with a Diploma in Gynaecological Endoscopy from the European Society for Gynaecological Endoscopy, Mr Sumit Kar has extensive expertise in both diagnostic and operative hysteroscopy. This advanced training ensures procedures are performed with precision, minimising discomfort and maximising effectiveness.

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Symptoms

Heavy or prolonged menstrual bleeding
Bleeding between periods
Post-menopausal bleeding
Abnormal findings on ultrasound (polyps, fibroids, thickened lining)
Recurrent miscarriage or fertility concerns
Suspected uterine adhesions (Asherman's syndrome)
Investigation of abnormal cervical smear findings
Removal of lost intrauterine device (IUD)

Diagnosis

1Initial consultation to review symptoms and medical history
2Transvaginal ultrasound to assess the uterus and identify any abnormalities
3Diagnostic hysteroscopy to directly visualise the uterine cavity
4Biopsy of the uterine lining (endometrium) if required
5Assessment of uterine shape and any structural abnormalities
6Evaluation of the cervical canal

Treatment Options

Diagnostic Hysteroscopy

A procedure to look inside the womb using a thin telescope. It can be performed as an outpatient procedure under local anaesthesia or as a day case under general anaesthesia. The camera allows detailed examination of the uterine lining and identification of any abnormalities.

Operative Hysteroscopy - Polypectomy

Removal of uterine polyps (endometrial polyps) that can cause heavy or irregular bleeding. Polyps are gently removed during the hysteroscopy procedure, often eliminating the need for more invasive surgery.

Operative Hysteroscopy - Myomectomy

Removal of submucous fibroids (fibroids that grow into the uterine cavity) using specialised instruments through the hysteroscope. This preserves the uterus and is suitable for women wishing to maintain fertility.

Endometrial Ablation

A procedure to destroy the uterine lining to reduce or stop heavy periods. Suitable for women who have completed their families and want an alternative to hysterectomy for managing heavy menstrual bleeding.

Adhesiolysis

Division of intrauterine adhesions (scar tissue) that can cause problems with periods or fertility. Also known as Asherman's syndrome, adhesions can form after previous uterine surgery or infection.

Removal of Retained Products

Hysteroscopic removal of tissue remaining in the uterus after miscarriage or pregnancy, under direct visualisation for safety and completeness.

What to Expect

Before your hysteroscopy, Mr Kar will explain the procedure in detail and answer any questions. You may need to take medication to soften the cervix if the procedure is planned under local anaesthesia. Preparation instructions will be provided. During the procedure, a thin telescope is gently passed through the cervix into the uterus. Fluid is used to expand the cavity and allow clear visualisation. If performed under local anaesthesia, you will be awake but the area will be numbed. Under general anaesthesia, you will be asleep throughout. After the procedure, you can usually go home the same day. You may experience some cramping and light spotting for a few days. Pain relief such as paracetamol or ibuprofen is usually sufficient. Avoid using tampons or having intercourse for a few days after the procedure. Recovery from diagnostic hysteroscopy is typically quick, with most women returning to work within 1-2 days. Operative procedures may require slightly longer recovery, typically up to a week. Mr Kar will provide specific aftercare instructions based on your individual procedure.

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Frequently Asked Questions

Diagnostic hysteroscopy is performed to look inside the womb and identify any problems. Operative hysteroscopy goes a step further to treat problems found, such as removing polyps or fibroids. Often, if something is found during a diagnostic procedure, it can be treated at the same time.

Hysteroscopy can be performed under local anaesthesia (outpatient) or general anaesthesia (day case). Under local anaesthesia, you may feel some cramping similar to period pain. Many women tolerate the procedure well, but general anaesthesia is available if preferred or for more complex operative procedures.

A diagnostic hysteroscopy typically takes 5-15 minutes. Operative procedures may take 15-45 minutes depending on what needs to be done. You can usually go home the same day.

Most women can return to normal activities within 1-2 days after a diagnostic hysteroscopy. After operative procedures, you may need a few days to a week to recover. You may experience some cramping and light bleeding for a few days, which is normal.

Hysteroscopy is often used to improve fertility by treating conditions that may be preventing pregnancy, such as polyps, fibroids, or adhesions. The procedure itself does not damage fertility and is considered a fertility-friendly approach.

Hysteroscopy is recommended for investigating abnormal uterine bleeding, post-menopausal bleeding, recurrent miscarriage, infertility, abnormal scan findings such as polyps or fibroids, and for removing intrauterine devices that cannot be removed in clinic.

Related Services

Abnormal Uterine BleedingLearn more →Fibroid TreatmentLearn more →Laparoscopic SurgeryLearn more →

Nearby Clinic Locations

Mr Sumit Kar offers this service at private clinics in Surrey. Find your nearest location:

Cheam & Sutton Caterham Wimbledon

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Locations

Hysteroscopy in Surrey - Diagnostic & Operative