Hysteroscopy&
Laparoscopy
Endometriosis, adhesions, cysts and fibroids often hide beyond what a scan can show. These camera-guided procedures diagnose and treat in one sitting, performed with a fertility-first mindset that preserves as much healthy tissue and ovarian reserve as possible. Keyhole Approach. Day-Case Hospital Stay.
Understanding Hysteroscopy & Laparoscopy
These are two keyhole procedures that look at different territory. Hysteroscopy passes a slim telescope through the cervix to inspect the inside of the uterine cavity, with no incisions at all. Laparoscopy uses small abdominal incisions to examine the outside of the uterus, the ovaries, the tubes and the wider pelvis. They are often performed together, because between them they cover almost everything an ultrasound cannot show.
What separates fertility surgery from general gynaecological surgery is intent. The goal is not simply to remove disease, but to remove it while protecting every bit of ovarian reserve and healthy tissue — because that reserve is the raw material for any future pregnancy. An endometriotic cyst removed carelessly takes normal ovarian tissue with it and can leave a woman with fewer eggs than before. Technique, energy settings and how tissue planes are handled genuinely change the outcome.
A second advantage is that diagnosis and treatment happen in the same sitting. A polyp found on hysteroscopy is removed there and then. Adhesions seen on laparoscopy are divided immediately. Endometriosis is staged and excised under one anaesthetic rather than confirmed in one operation and treated in another.
Both are day-case procedures. Most patients come in the morning and go home the same evening, returning to normal activity within one to seven days depending on what was done. Recovery from a diagnostic hysteroscopy is often a matter of hours; surgery for extensive endometriosis takes longer.
When To Consider This
Repeated implantation failure with good-quality embryos
Painful periods or persistent pelvic pain suggesting endometriosis
Polyps, fibroids or a uterine septum seen on ultrasound
A persistent ovarian cyst or chocolate cyst
Previous ectopic pregnancy or pelvic infection causing tubal damage
Seek Care Promptly If
- Severe or worsening abdominal pain after surgery
- Heavy vaginal bleeding or soaking through pads
- Fever, chills or redness and discharge at an incision site
What's Involved
Expert Video Guides
Hysteroscopy vs Laparoscopy: Which One and Why
A 5-Year Wait Ends in a Positive Result
Frequently Asked Questions
No, these are typically performed as day-case surgeries. Most patients go home the same day.
Recovery from a hysteroscopy is very fast — one to two days. Laparoscopy may require a few days to a week of rest before returning to normal activities.
Yes, when it corrects a genuine structural problem like a polyp or septum affecting implantation. It is not recommended as a routine add-on without a specific finding on your scan.
Usually after one full menstrual cycle for hysteroscopy, and one to two cycles for laparoscopy, to allow tissue to heal. We confirm the right timing at your follow-up visit.
Yes, when performed with a fertility-first approach that preserves ovarian tissue. It is often the only way to accurately diagnose and treat endometriosis, which imaging alone can miss.