Examination
A thin camera passes through the vagina and cervix to look inside the womb.
If hysteroscopy has been suggested, ask what it is intended to find, whether treatment might happen during it and which pain-relief options you have.
It can investigate bleeding or selected fertility concerns. The reason for your procedure should guide the plan; it is not a routine requirement before IVF.
A thin camera passes through the vagina and cervix to look inside the womb.
A biopsy or treatment of a finding may be proposed; clarify consent beforehand.
Pain varies and can be substantial. Discuss the options in advance.
Agree who explains findings and any laboratory results.
A hysteroscopy allows a clinician to examine the inside of the womb. It may help investigate unexplained bleeding, selected fertility problems or changes such as polyps. A polyp is a growth in the lining of the womb.
A biopsy is a small tissue sample sent for examination. Confirm whether one is proposed and what question it should answer.
Ask what question the examination is intended to answer and how it could change your care. Could another investigation answer it first? If it is suggested as part of fertility assessment, ask why it is needed in your circumstances rather than assuming it is necessary before every IVF cycle.
Keep optional fertility tests separate from the hysteroscopy decision. Ask what evidence supports any extra sampling or treatment and whether it is essential.
Confirm the clinic and procedure location, whether the planned service is diagnostic or operative and who will perform it. If fertility treatment is also being discussed, its eligibility rules need a separate check for the Federation or Republika Srpska.
Hysteroscopy can be painful, and experiences differ. Discuss available pain relief, sedation or anaesthesia before the day, particularly if previous vaginal examinations have been difficult. Pregnancy must be excluded before it takes place.
Follow the clinic’s instructions for your particular procedure. Preparation for an examination without sedation may differ from preparation for an operative procedure under anaesthesia.
Ask whether the price includes consultation, pre-procedure checks, pain relief or anaesthesia, theatre charges and recovery care. Clarify charges for biopsy, laboratory analysis, treatment of a finding and the results appointment.
If the procedure cannot be completed or is postponed, what remains payable? If treatment is recommended afterwards, ask for a separate explanation and proposal. Add accommodation and any additional stay rather than planning solely around the examination time.
Risks include infection and a hole in the womb wall, called a perforation. The clinician should explain how the risks differ for the proposed examination or treatment. Anaesthesia or sedation also needs its own discussion.
Some bleeding and discomfort can be expected; follow your individual discharge instructions. Get prompt local medical assessment for heavy or worsening bleeding, severe or worsening pain, fever or unpleasant-smelling discharge. Seek emergency care for severe symptoms.
Before leaving, get written instructions about activity, sex, medicines and warning signs. If you have sedation or general anaesthesia, arrange an escort and follow the team’s restrictions. Ask when travel would be appropriate; going home from the clinic is not the same as being ready for a flight.
Keep the procedure report for your clinician near home. Plan activities around the treating team’s recovery advice.
A diagnostic hysteroscopy looks for a cause; an operative procedure also treats a finding. Agree beforehand what may be done during your appointment, and what would need a separate discussion and consent.
Yes. Tell the team if you need the procedure to stop. Discuss pain relief, sedation or anaesthesia beforehand, particularly if previous vaginal examinations have been difficult.
A biopsy needs laboratory analysis, so it is not usually ready during the examination. Results can take a few weeks or longer, depending on the test and laboratory. Before leaving, get the clinic’s expected date, who will explain the result and how to contact them if it has not arrived. Agree who will arrange any further care.
Explore the clinics below, then confirm who would assess and treat you, where the care would take place and whether an appointment is available. Any treatment proposal depends on your assessment.
Services include hysteroscopy. The IVF department and gynaecological centre use different locations; confirm the address for each appointment.
Services include diagnostic and therapeutic hysteroscopy. Plava operates across several facilities; confirm which site would provide the proposed care.
Prepare questions about your options, the complete costs, the clinician responsible for your care and follow-up at home before booking.
Questions to ask a clinic