Hysteroscopy is done under general anaesthesia (by putting to sleep). This enables diagnosis and at the same tie, surgical improvement of the womb is also possible. It helps in detecting abnormalities at the neck of the womb, which can affect the procedure of embryo transfer.
It can remove abnormalities inside the womb such as polyps, fibroids, adhesions and even womb defects from birth (Septum). These abnormalities not only decrease the success of IVF but, can also lead to miscarriages. The lining of the womb is an important factor affecting the success of IVF. This can be evaluated at hysteroscopy.
The hysteroscopy is followed by gentle curetting (scraping) of the lining of the womb. This is sent for microscopic assessment to the pathology department. Infection and hormonal abnormalities in the lining of the womb can be diagnosed and then treated, thereby improving the success of IVF. The massive benefit offered by hysteroscopy makes it almost mandatory in every patient before IVF and certainly in patients with repeated IVF failures and recurrent miscarriages.
The procedure does not involve any cut on the tummy, nor any pain and is performed on a daycare base. In India, this can cost as little as £300.