Hysteroscopy Surgery in Delhi

Hysteroscopy surgery in Delhi is a minimally invasive procedure where a fertility specialist inserts a thin, lighted camera through the cervix to examine and treat problems inside the uterus. No cuts are needed. It diagnoses and corrects conditions like polyps, fibroids, adhesions, and uterine septum that cause infertility or recurrent miscarriage. The procedure takes 20–45 minutes and most patients go home the same day. If you’ve had failed IVF cycles or unexplained infertility, book a consultation at Mediworld Fertility today.

What Is Hysteroscopy Surgery and How Does It Work?

Hysteroscopy is a minimally invasive procedure where a thin, lighted camera called a hysteroscope is passed through the vagina and cervix into the uterus. There are no cuts or stitches. Saline is used to gently expand the uterine cavity so the specialist can see the lining clearly and treat any problems found, all in one procedure.

There are two types. A diagnostic hysteroscopy examines the uterine cavity to identify abnormalities. An operative hysteroscopy goes one step further, using small instruments passed through the hysteroscope to remove polyps, fibroids, or scar tissue, or to correct a uterine septum, at the same time as the diagnosis.

This “see and treat” approach is one of the reasons hysteroscopy is considered the gold standard for evaluating the uterine cavity in patients with infertility, according to the Society of Obstetricians and Gynaecologists of Canada (SOGC) in their 2024 hysteroscopic surgery guideline.

The procedure is typically scheduled just after your period ends, when the uterine lining is at its thinnest and the cavity is easiest to see. It is performed under mild sedation or general anaesthesia depending on whether treatment is also planned.

Who Should Consider Hysteroscopy Surgery in Delhi?

Hysteroscopy is recommended for women who have unexplained infertility, failed IVF or ICSI cycles, two or more miscarriages, or abnormal uterine bleeding that hasn’t been fully explained by ultrasound alone. It’s also commonly advised before starting a first IVF cycle if imaging suggests something may be present inside the uterus.

More specifically, your doctor may recommend hysteroscopy if you have:

• Two or more failed IVF or embryo transfer cycles with good embryos
• Recurrent miscarriage (two or more pregnancy losses)
• Irregular or heavy periods with no clear cause on scan
• Abnormal findings on a hysterosalpingogram (HSG) or saline infusion sonography (SIS)
• A suspected uterine septum, fibroid, or polyp picked up on ultrasound
• Chronic endometritis (persistent inflammation of the uterine lining)
• Unexplained infertility after 12 months of trying

Age matters here too. Women over 35 who are planning IVF tend to benefit from a uterine check beforehand, since the window for successful treatment is narrower and it’s worth ruling out correctable problems before starting a full cycle.

If you’re unsure whether hysteroscopy applies to your situation, Dr. Neha Gupta and our specialist team can assess your case and advise you clearly at your first consultation.

The Hysteroscopy Procedure: What to Expect Step by Step

Knowing what happens at each stage tends to take a lot of the worry out of the day. Here is what the process looks like at Mediworld Fertility.

• Before the procedure

Your specialist will schedule the hysteroscopy between days 6 and 10 of your menstrual cycle, shortly after your period finishes. If general or spinal anaesthesia is planned, you’ll be asked to fast for 6–8 hours beforehand. You may be given a mild cervical preparation medication the night before to make cervical dilation easier and more comfortable. Bring a list of any medications you’re currently taking, as some blood thinners may need to be paused temporarily.

• On the day of Hysteroscopy Surgery

You’ll change into a hospital gown and be positioned as you would be for a pelvic examination. An IV line is placed if sedation is being used. The vaginal area is cleaned, and the hysteroscope is gently guided through the cervix into the uterus. Saline solution is introduced through the instrument to expand the uterine cavity and give the specialist a clear, unobstructed view on the monitor.The diagnostic phase takes roughly 10–20 minutes. If the specialist identifies something that needs treating, a small instrument is passed through the hysteroscope channel to remove or correct it. The full procedure, including operative treatment, typically takes 20–45 minutes.

• Right after the Hysteroscopy Surgery

You’ll rest in the recovery area for 1–2 hours while the anaesthesia wears off. Mild cramping and light spotting on the day of the procedure are common and expected. Most patients are discharged home the same day.

What Conditions Can Hysteroscopy Diagnose and Treat?

Hysteroscopy diagnoses and treats six main conditions that affect the uterine cavity: endometrial polyps, submucosal fibroids, intrauterine adhesions (Asherman’s syndrome), uterine septum, chronic endometritis, and structural abnormalities like a T-shaped uterus. These are the most common uterine causes of implantation failure and recurrent miscarriage, and all of them can be missed on a standard ultrasound.

Here’s how each one affects fertility:

• Endometrial polyps are soft growths on the uterine lining. According to the 2024 SOGC hysteroscopy guideline, hysteroscopic polypectomy improves unassisted and IUI treatment conception and live birth rates in patients with infertility.
• Submucosal fibroids sit within the uterine cavity. FIGO Type 0 to 2 fibroids are associated with lower pregnancy rates and higher miscarriage rates, and hysteroscopic myomectomy appears to improve both assisted and unassisted pregnancy rates in the same guideline.
• Intrauterine adhesions (scar tissue, also known as Asherman’s syndrome) can partially or fully block the uterine cavity, preventing implantation. Hysteroscopic adhesiolysis restores the cavity and improves the uterine environment for an embryo.
• Uterine septum is a wall of fibrous tissue that divides the uterine cavity. Data from a 2024 ASRM guideline on uterine septum found that patients with an untreated septum had live birth rates of just 2.7%, compared to 21.7% in matched controls. After hysteroscopic septoplasty, pregnancy and live birth rates came close to those of women without any uterine abnormality.
• Chronic endometritis is persistent inflammation of the uterine lining, often caused by a low-grade infection. It’s been reported in over 60% of women with repeated implantation failures and recurrent miscarriages, and hysteroscopic evaluation with targeted biopsy is the most reliable way to confirm and address it.
• Structural abnormalities like a T-shaped uterus can reduce the effective implantation area and are correctable through hysteroscopic metroplasty.

For women dealing with recurrent miscarriage, identifying and treating these uterine factors is often the missing piece that changes the outcome.

How Does Hysteroscopy Improve IVF and ICSI Success Rates?

For women with a history of failed IVF or ICSI cycles, hysteroscopy before the next attempt can significantly improve the chances of pregnancy. A meta-analysis of 3,932 women with recurrent implantation failure found that those who had a hysteroscopy before their next IVF treatment had a clinical pregnancy rate 64% higher than those who did not, with a pooled odds ratio of 1.64 (95% CI: 1.30–2.07).

A separate 2024 meta-analysis published in Frontiers in Endocrinology confirmed that hysteroscopy before IVF or ICSI improves live birth rates with a relative risk of 1.59 (95% CI: 1.34–1.89). The benefit was seen both in first-time IVF patients and in those who had previously failed cycles.

In a multi-centre retrospective cohort study, 50% of patients who had previously failed IVF achieved a successful pregnancy after hysteroscopic surgery.

How does this happen? There are two main mechanisms. First, identifying and removing a structural problem, like a polyp blocking the implantation site or adhesions reducing the usable surface area of the uterine cavity, directly improves the environment for the embryo. Second, the process of hysteroscopy itself may stimulate the endometrium (through what’s called endometrial scratching), which some data suggests can improve receptivity for the embryo.

The same improvement in outcomes applies to ICSI treatment, where ensuring the uterine environment is optimised before embryo transfer is equally important.

Hysteroscopy isn’t necessary for every IVF patient. If your uterine cavity looks normal on a thorough ultrasound and you have no history of failed cycles or miscarriage, your specialist will advise you on whether it’s needed. But for anyone with unexplained infertility, repeated failures, or abnormal imaging, it’s worth doing before committing to another full cycle.

Hysteroscopy vs. Laparoscopy: What’s the Difference?

Both procedures use small cameras to look inside the body, and both are used in fertility investigations. But they examine completely different areas.

• A hysteroscopy looks inside the uterine cavity. The camera enters through the vagina and cervix. No cuts are made. It’s used to find and treat problems with the uterine lining, such as polyps, fibroids inside the cavity, adhesions, and structural abnormalities.
• A laparoscopy surgery looks at the outside of the uterus and the surrounding pelvic structures, including the fallopian tubes, ovaries, and peritoneum. It requires 2–3 small incisions in the abdomen and is used to diagnose conditions like endometriosis, ovarian cysts, tubal blockage, and pelvic adhesions.

The two procedures are sometimes done together. A patient with unexplained infertility might need both: a hysteroscopy to rule out intrauterine problems, and a laparoscopy to check the external pelvic environment. Combined procedures are performed under general anaesthesia in an operating theatre and allow the specialist to get a complete picture in one session.

Neither test replaces the other. An ultrasound can suggest there’s a problem inside the uterus, but only a hysteroscopy can confirm it with certainty and correct it at the same time.

Recovery, Risks, and What to Expect After Hysteroscopy

Hysteroscopy is safe, with complications occurring in under 1% of cases. Most patients are back to their normal routine within 24–48 hours, with mild cramping and light spotting in the first 1–2 days being the most common experience.

According to Cleveland Clinic’s clinical guidance (updated February 2026), possible complications include uterine perforation, infection, heavy bleeding, and reaction to the distension medium, though all of these are uncommon. NCBI StatPearls (2025) notes that uterine perforation is the most commonly reported complication of both diagnostic and operative hysteroscopy, but it is rare and, in most cases, managed without further intervention when performed by an experienced surgeon.

Here’s what the recovery typically looks like:

• Day 1: Mild cramping and light spotting. Rest at home. Avoid driving if sedation was used.
• Days 2–3: Most patients return to desk work and light daily activities.
• Days 3–7: Avoid strenuous exercise, heavy lifting, and sexual intercourse until bleeding stops.
• After 1–2 weeks: A follow-up appointment to review findings and discuss the next steps in your fertility plan.

If you experience a fever above 38°C, heavy bleeding that soaks more than one pad per hour, severe abdominal pain, or unusual vaginal discharge, contact your doctor immediately. These may indicate an infection or, rarely, injury to the uterus.

How soon can you start IVF after hysteroscopy?

For a diagnostic-only procedure, an IVF cycle can usually begin in the following menstrual cycle. After operative hysteroscopy (such as fibroid removal or adhesiolysis), your specialist may recommend waiting 1–3 months to allow the uterine lining to heal fully before proceeding with embryo transfer.

Meet Our Hysteroscopy Specialists at Mediworld Fertility

At Mediworld Fertility, hysteroscopy procedures are performed by experienced fertility specialists and laparoscopic surgeons with deep expertise in reproductive medicine.

• Dr. Neha Gupta, Clinical Director and Senior IVF Specialist, leads the fertility team with over 21 years of experience in reproductive medicine and over 1,000 surgical procedures to her name. She specialises in managing recurrent implantation failure, unexplained infertility, and complex uterine pathology, and has guided thousands of patients through fertility treatment with personalised, evidence-based care.
• Alongside Dr. Neha Gupta, our specialist team includes Dr. Sushma Ved (22+ years, Director and Senior Consultant in Embryology, with over 6,000 procedures performed), Dr. Deepti Pachauri, Dr. Manisha Bansal, and Dr. Reeta Agrawal, each bringing focused expertise to their area of reproductive care.

Every hysteroscopy at Mediworld Fertility is preceded by a thorough consultation and individualised assessment. You won’t be recommended to a procedure unless your clinical picture genuinely supports it. After the procedure, your specialist will discuss the findings with you in clear, plain terms and walk you through the next steps in your treatment plan.

Hysteroscopy Surgery in Delhi for International Patients

Delhi is one of Asia’s leading destinations for fertility treatment, and for international patients, Mediworld Fertility offers the combination of specialist expertise, advanced infrastructure, and significantly lower costs than most Western countries.

The cost of hysteroscopy surgery in India ranges from approximately INR 20,000–35,000 for a diagnostic procedure and INR 35,000–60,000 for operative hysteroscopy. This is a fraction of what the same procedures cost in the UK, USA, or Australia, where prices can be three to six times higher.

For patients travelling from overseas, we offer:

• Online consultation before you travel, so your clinical history is reviewed and your procedure is planned in advance
• Treatment coordination from initial enquiry through to post-operative follow-up
• Language support for patients who are more comfortable communicating in a language other than English
• Clear, itemised cost estimates before any procedure is confirmed, with no unexpected charges
• Continuity of care with the same specialist from your first appointment through to your fertility treatment plan

Many of our international patients combine a hysteroscopy with an IVF consultation or full fertility assessment during their visit, which allows them to leave with a clear, costed treatment plan and a timeline for next steps.

To book an online consultation from abroad, contact our team directly or send a WhatsApp message and one of our patient coordinators will respond within 24 hours. Our Safdarjung Enclave centre in New Delhi is well connected and handles the majority of our international patient consultations and procedures.

Why Choose Mediworld Fertility for Hysteroscopy Surgery in Delhi?

Mediworld Fertility offers 15+ years of experience in reproductive medicine, with hysteroscopy performed by specialist fertility surgeons in a fully equipped, modern facility. With over 2,000 IVF cycles completed, 1,500+ recurrent miscarriage cases managed, and a 95% IVF success rate, the centre has the clinical depth to identify and treat uterine problems that affect fertility outcomes.

Here’s what that means in practice for you:

• Specialist hands, not generalists. Every hysteroscopy at Mediworld Fertility is performed by a fertility specialist, not a general gynaecologist. The person examining your uterus is the same person who understands how the findings connect to your IVF or fertility plan.
• Honest, personalised recommendations. We don’t recommend hysteroscopy unless your clinical picture supports it. You get a clear explanation of why the procedure is being advised, what we expect to find, and how the results will inform your next steps.
• Advanced infrastructure. Our centres are equipped with modern hysteroscopy systems and operate under strict clinical protocols. You get the same standard of equipment and care whether you’re at our Safdarjung Enclave centre or any of our other locations across Delhi NCR.
• Transparent pricing. We don’t believe in hidden costs. Before any procedure, you’ll receive a clear cost breakdown that covers consultation, investigation, the procedure itself, and follow-up care.
• Complete support. Fertility treatment is not just a medical process. Our team includes fertility counsellors who support you through the emotional side of the journey, particularly if you’re coming to us after recurrent failures or losses.

If you have been told your fertility investigations are “normal” but you still can’t get pregnant or keep a pregnancy, a hysteroscopy may be the step that changes that answer. We’re here to help you find out.

Book your consultation with a Mediworld Fertility specialist today. Call us at +91 9315615376, send a WhatsApp message, or fill in the consultation form on our website and our team will get back to you promptly. For international patients, online consultations are available seven days a week.

Frequently Asked Questions

1. What is hysteroscopy and how does it work? 

Hysteroscopy is a procedure where a thin, lighted camera (hysteroscope) is passed through the vagina and cervix into the uterus. Saline is used to expand the cavity so the specialist can see the uterine lining clearly on a monitor. A diagnostic hysteroscopy looks for problems. An operative hysteroscopy treats them, removing polyps, fibroids, or adhesions, or correcting a uterine septum, in the same session. No cuts or stitches are needed.

2. Is hysteroscopy painful? 

Most patients describe the discomfort as similar to period cramps. At Mediworld Fertility, hysteroscopy is performed under mild sedation or general anaesthesia, so you won’t feel pain during the procedure. Mild cramping and light spotting for 1–2 days afterwards are normal and settle quickly with standard pain relief.

3. How long does hysteroscopy surgery take in Delhi? 

A diagnostic hysteroscopy typically takes 10–20 minutes. If operative treatment is also performed (such as polyp removal or septum correction), the procedure can take 30–45 minutes. Most patients are discharged home within 2–4 hours of arriving at the clinic.

4. What is the cost of hysteroscopy surgery in Delhi? 

The cost of hysteroscopy surgery in Delhi generally ranges from INR 20,000–35,000 for a diagnostic procedure and INR 35,000–60,000 or more for an operative hysteroscopy, depending on the complexity of the treatment required. Additional costs for pre-procedure blood tests, anaesthesia, and post-operative follow-up may apply. At Mediworld Fertility, we provide a clear cost estimate before any procedure is confirmed.

5. How soon after hysteroscopy can I start IVF? 

After a diagnostic hysteroscopy with no operative treatment, most patients can begin an IVF cycle in the following menstrual cycle. If operative work was performed, such as fibroid removal or adhesiolysis, your specialist will typically recommend waiting 1–3 months to allow the uterine lining to heal fully before embryo transfer. Your fertility specialist at Mediworld will advise the right timing based on your specific findings.

6. Can hysteroscopy be repeated if the first one doesn’t find anything? 

Yes. If a first hysteroscopy returns a normal result but you continue to experience implantation failure or recurrent miscarriage, a repeat procedure may be recommended, particularly if new symptoms arise or if a significant amount of time passes before the next IVF attempt. In some cases, a first procedure may miss a subtle finding like mild chronic endometritis, which becomes apparent on a repeat evaluation or with targeted biopsy.

7. How is hysteroscopy different from a laparoscopy? 

A hysteroscopy looks inside the uterine cavity and is performed through the vagina with no incisions. A laparoscopy looks at the outside of the uterus and the surrounding pelvic structures, including the fallopian tubes and ovaries, through small incisions in the abdomen. They examine different areas and are used for different diagnostic purposes. In some patients with infertility, both are recommended together to get a complete picture of the reproductive anatomy.