Hysteroscopy (Operative)

By RRM Academy Reviewed by Dr. Naomi Whittaker, MD, Board-Certified OBGYN, MIGS, NFPMC, FCI Updated May 7, 2026

A therapeutic extension of diagnostic hysteroscopy, used to treat intrauterine pathology identified during visualization. ACOG-recognized indications include removal of endometrial polyps, submucosal leiomyomas (fibroids), uterine septa, intrauterine adhesions (synechiae), retained products, malpositioned IUDs, tubal cannulation, and treatment of isthmoceles. Ambulatory (office-based) hysteroscopy offers comparable outcomes to operating room procedures with reduced cost and avoidance of general anesthesia.¹⁷¹⁸

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