Candidates for Hysteroscopy. A Comprehensive Overview

Candidates for Hysteroscopy. A Comprehensive Overview

Candidates for Hysteroscopy: A Comprehensive Overview


Hysteroscopy is a minimally invasive diagnostic and therapeutic procedure used to inspect the uterine cavity. It involves the use of a hysteroscope, a thin, lighted tube that is inserted into the vagina and through the cervix to provide a clear view of the uterine interior. This technique is pivotal in diagnosing and treating various intrauterine pathologies. Identifying candidates for hysteroscopy is crucial for optimizing patient outcomes and ensuring appropriate use of this valuable procedure.

Indications for Hysteroscopy

Hysteroscopy can be either diagnostic or operative, with indications varying accordingly. Here, we explore the primary conditions and scenarios that make patients suitable candidates for hysteroscopy.

1. Abnormal Uterine Bleeding (AUB)

2. Subfertility and Recurrent Pregnancy Loss

3. Suspected Uterine Anomalies

4. Endometrial Pathologies

5. Lost Intrauterine Devices (IUDs)

6. Endometrial Cancer and Hyperplasia Surveillance

7. Chronic Pelvic Pain

Patient Selection Criteria

Selecting appropriate candidates for hysteroscopy involves a thorough clinical evaluation. Criteria include:

Contraindications to Hysteroscopy

While hysteroscopy is generally safe, certain conditions contraindicate its use:

Benefits of Hysteroscopy

Hysteroscopy offers several advantages over traditional methods:

Potential Complications

Although rare, complications can occur and include:


Hysteroscopy is a vital tool in gynecology, offering unparalleled access to the uterine cavity for both diagnostic and therapeutic purposes. Candidates for hysteroscopy are primarily those with abnormal uterine bleeding, subfertility, suspected uterine anomalies, endometrial pathologies, and chronic pelvic pain. Proper patient selection and awareness of contraindications are essential to maximizing the benefits and minimizing the risks of hysteroscopy. As advancements in technology and techniques continue, the role of hysteroscopy in women’s health is likely to expand, offering even greater precision and efficacy in managing intrauterine conditions.