After the doctor is done with diagnostic hysteroscopy, an operative hysteroscopy is performed to make the corrections in abnormal condition, which eventually avoids the need for a second surgery. Small instruments are inserted through hysteroscope during operative hysteroscopy to make the corrections.

For the following uterine conditions, operative hysteroscopy can be performed:

  • Polyps and Fibroids: With the use of hysteroscopy they can be removed completely from uterus.
  • Asherman Syndrome: Also known as Adhesions, uterine adhesions are a band of scar tissue that forms in the uterus which leads to changes in menstrual flow and in some cases hinders the infertility. Hysteroscopy helps doctor to locate and remove the adhesions.
  • Septums: A uterine septum can be detected through hysteroscopy, an abnormality of the uterus that exists since birth.
  • Abnormal Menstruation Cycle: Hysteroscopy can help identify the cause of heavy and abnormal bleeding during menstruation, lengthy menstrual flow, as well as bleeding between menstruation cycles or after menopause. For that matter endometrial ablation is one procedure in which the Hysteroscope and other instruments are used to destroy the uterine lining and there after treat some causes of heavy bleeding.