Hysteroscopy and Endometrial Biopsy
Hysteroscopy and endometrial biopsy are procedures used to examine and investigate the inside of the uterus and its lining. A thin camera is passed through the vagina and cervix, and a sample of tissue is collected. The sample is examined in a laboratory to help establish a diagnosis and guide treatment.
When the Procedure May Be Recommended
This procedure is commonly used to investigate a range of gynaecological symptoms and conditions, including:
Abnormal uterine bleeding
Heavy menstrual bleeding (menorrhagia)
Bleeding between periods
Bleeding after menopause
Post-coital bleeding
Fertility concerns or recurrent miscarriage
Abnormal findings on ultrasound scans
Suspected uterine polyps or fibroids
Because the uterine cavity can be seen directly, hysteroscopy often provides more accurate diagnostic information than imaging alone.
What to Expect
Consultation, assessment and planning
Your care begins with a specialist consultation with Mr Richard Flint. Your symptoms, medical history and previous investigations will be reviewed to determine whether hysteroscopy and biopsy are appropriate.
The operation
The procedure is typically performed as a day-case procedure, usually under general anaesthesia, meaning you will be asleep and comfortable. It usually takes around 20–30 minutes.
During a hysteroscopy, a thin telescope called a hysteroscope is gently passed through the vagina and cervix into the uterus. This instrument contains a camera and light source, allowing the uterine cavity to be viewed clearly on a monitor.
During the same procedure, a small sample of the uterine lining (endometrium) may be taken. This sample is sent to a specialist laboratory for histological examination, where a pathologist evaluates the cells under a microscope.
If a small abnormality such as a uterine polyp or minor scar tissue is identified during the procedure, it can often be treated or removed immediately using specialised instruments. This approach can reduce the need for additional procedures.
Recovery
Most patients go home the same day. You may experience:
Mild period-like cramps
Light vaginal spotting or discharge for a few days
These symptoms usually settle quickly.
Biopsy results are usually available within 1–2 weeks. A follow-up appointment will be arranged to discuss the findings and any recommended treatment.
Frequently Asked Questions
Is hysteroscopy painful?
When performed under general anaesthesia, you will not feel pain during the procedure. Afterwards, mild cramping similar to period pain is common but usually manageable with simple pain relief.
When can I return to normal activities?
Most women return to normal activities or work within a day or two, depending on how they feel.
Are there risks?
Hysteroscopy is generally very safe. Rare risks include infection, bleeding, or injury to the uterus, but these complications are uncommon.
A hysteroscopy and endometrial biopsy provides clear answers when investigating abnormal bleeding, fertility concerns, or uterine abnormalities. Early diagnosis allows appropriate treatment and reassurance.
If you are experiencing unexplained gynaecological symptoms, assessment by an experienced specialist such as Mr Richard Flint can help identify the cause and guide the most appropriate care.