Hysteroscopic Surgery
Incision-free care to diagnose the cause of abnormal bleeding or correct uterine anomalies in a precise, gentle treatment
When do uterine symptoms need a closer look?
Getting to the root cause of disruptive uterine concerns can be a frustrating journey. Hysteroscopic surgery offers a direct, incision-free method for your doctor to examine the inside of your uterus. In many cases, certain abnormalities can be treated during the same procedure.
Your healthcare provider may recommend a hysteroscopy if you are experiencing:
- Heavy or abnormal menstrual bleeding
- Bleeding after menopause or spotting between periods
- Uterine structural concerns, such as polyps, fibroids, or septa
- Uterine adhesions (scar tissue), also known as Asherman’s syndrome
- Unexplained infertility or recurrent miscarriages
What to expect before, during and after hysteroscopic surgery
Hysteroscopic surgery is a minimally invasive procedure used to examine the inside of your uterus. A thin, lighted instrument called a hysteroscope is inserted through the vagina and cervix, eliminating the need for abdominal incisions and allowing for a faster recovery compared to more invasive surgeries.
Before the procedure
To determine whether hysteroscopy is right for you, Dr. Tsai will review your symptoms, medical history and treatment goals, along with any imaging tests.
During the procedure
The hysteroscope is gently guided through the cervix and into the uterus. A sterile fluid is introduced to expand the uterine cavity, giving Dr. Tsai a clear view of the uterine lining. This allows her to identify issues such as polyps, fibroids, adhesions, or structural abnormalities. If treatment is necessary, small surgical instruments can be passed through the hysteroscope to address these concerns.
Depending on the procedure’s complexity, it may be performed under local, regional, or general anesthesia.
After the procedure
Hysteroscopic surgery is an outpatient procedure, so you can expect to go home the same day. It is common to experience mild cramping, light bleeding, or temporary discomfort for a few days following the surgery. Dr. Tsai will provide you with clear postoperative instructions, including guidance on activity levels, symptoms to monitor and when to schedule a follow-up appointment.
Please contact our office immediately if you develop a fever, severe abdominal pain, or heavy bleeding.
Why patients trust Lily Tsai, MD, for hysteroscopic care
When you choose Dr. Tsai, you can be confident your health is in compassionate and highly capable hands.
Specialized fellowship training
Dr. Tsai completed a fellowship at Scripps Clinic, focusing on Gynecologic Laparoscopic Surgery, Complex Benign Gynecology and Minimally Invasive Surgery.
Advanced board certifications
She is board-certified in Obstetrics and Gynecology and holds focused practice certification in Minimally Invasive Gynecologic Surgery.
Extensive procedural expertise
With over 15 years of experience, Dr. Tsai has performed thousands of successful advanced hysteroscopic, robotic and laparoscopic procedures to address complex gynecologic concerns.
Precise, incision-free treatment
Whenever appropriate, Dr. Tsai uses hysteroscopic techniques to diagnose and treat conditions inside the uterus without abdominal incisions.
Thoughtful, individualized care
She takes the time to explain findings, review all treatment options and tailor recommendations to your unique symptoms, fertility goals and long-term health.
Compassionate support
Dr. Tsai offers attentive and validating care, from your initial consultation through recovery and follow-up.