Treatment Overview
Hysteroscopy Examination in Korea is a minimally invasive diagnostic and therapeutic procedure that allows direct visualization of the inside of the uterus using a thin, lighted camera called a hysteroscope. In the context of recurrent pregnancy loss (RPL), hysteroscopy is one of the most valuable tools for identifying and treating uterine abnormalities that may interfere with embryo implantation or fetal development.
In Korea, hysteroscopy is performed using high-definition video systems, fiber-optic optics, and miniature hysteroscopes, which provide precise visualization with minimal discomfort. Many fertility centers in Korea integrate hysteroscopy into comprehensive RPL diagnostic programs, ensuring both detection and correction of uterine pathologies in a single session if necessary.
Purpose & Benefits
The primary purpose of hysteroscopy is to diagnose and correct intrauterine abnormalities that may cause miscarriage or infertility.
Key benefits include:
- Detects uterine abnormalities such as septum, adhesions (Asherman’s syndrome), fibroids, or polyps.
- Provides direct visualization of the uterine cavity, offering higher accuracy than ultrasound or X-ray.
- Allows simultaneous treatment of detected problems through operative hysteroscopy.
- Helps evaluate endometrial health, inflammation, and other structural issues contributing to recurrent pregnancy loss.
- Minimally invasive, with quick recovery and little postoperative discomfort.
In Korean fertility clinics, hysteroscopy is considered a gold standard for uterine evaluation, often performed before IVF or embryo transfer to ensure an optimal environment for implantation.
Ideal Candidates
Hysteroscopy is recommended for:
- Women with two or more unexplained miscarriages or early pregnancy losses.
- Patients with abnormal uterine imaging findings (from ultrasound, MRI, or HSG).
- Women with a history of failed IVF or implantation failure despite good embryos.
- Patients suspected of uterine septum, fibroids, or adhesions.
- Those experiencing irregular bleeding or abnormalities in endometrial lining.
It is also valuable for women planning fertility treatment, as it can identify and correct uterine problems that might otherwise go unnoticed.
Possible Risks & Complications
Hysteroscopy is generally very safe when performed by skilled specialists, but minor risks may occur:
- Mild pelvic cramping or spotting after the procedure.
- Temporary dizziness or discomfort from anesthesia or uterine distension fluid.
- Rare complications such as infection, bleeding, or uterine perforation.
- Fluid overload or allergic reaction (extremely uncommon).
Korean clinics minimize these risks by using mini-hysteroscopes, low-pressure distension techniques, and experienced reproductive surgeons.
Surgical Techniques Used
Modern Korean fertility hospitals utilize advanced hysteroscopic technologies to ensure safety, comfort, and precision:
- Diagnostic Hysteroscopy: Uses a small (3–5 mm) hysteroscope inserted through the cervix to examine the uterine cavity.
- Operative Hysteroscopy: Combines visualization with instruments for removal or correction of abnormalities such as septa, adhesions, or polyps.
- Office Hysteroscopy: Performed without general anesthesia using flexible hysteroscopes for quick, painless evaluation.
- 3D and HD Video Hysteroscopy Systems: Provide magnified visualization for precise diagnosis.
- Fluids and CO₂ Distension Systems: Maintain a clear field of vision and minimize trauma.
- Integrated Surgical Platforms: Korean centers often use systems that combine hysteroscopy with laparoscopy for complete reproductive tract assessment when needed.
Korean specialists are globally recognized for their expertise in minimally invasive reproductive surgery, using innovative tools like bipolar energy systems for precise and bloodless surgery.
Recovery & Aftercare
Recovery from hysteroscopy is typically fast:
- Most patients go home the same day.
- Mild cramping or light bleeding may last 1–2 days.
- Patients are advised to avoid intercourse or tampon use for about a week to reduce infection risk.
- Pain is usually mild and managed with over-the-counter medications.
- Follow-up includes reviewing findings, discussing pathology results (if biopsies were taken), and planning future fertility treatment or pregnancy.
Korean fertility centers provide personalized postoperative care and counseling, ensuring patients recover comfortably and are ready for subsequent treatment cycles.
Results & Longevity
- The procedure provides a clear, direct diagnosis of uterine abnormalities often missed by imaging.
- When operative hysteroscopy is performed, fertility outcomes improve significantly, with higher conception and live birth rates.
- Corrected uterine structure remains stable long term, though periodic follow-up may be advised.
- Results guide fertility treatment strategies, including the timing of embryo transfer or additional investigations.
- In recurrent pregnancy loss, hysteroscopy can transform prognosis by resolving hidden uterine causes.
Korea’s advanced techniques and meticulous approach ensure highly reliable, lasting results.
Treatment Process in Korea
A typical hysteroscopy process in Korea includes:
- Pre-procedure Consultation: Review of medical and pregnancy history, ultrasound, and hormonal evaluations.
- Procedure Scheduling: Done in the early proliferative phase of the menstrual cycle (after menstruation, before ovulation).
- Anesthesia Options: Local, sedation, or general anesthesia depending on complexity.
- Procedure: Insertion of hysteroscope through cervix; uterus inspected, and abnormalities treated if necessary.
- Post-procedure Monitoring: Observation for a short time before discharge.
- Result Discussion: Images and findings are explained to the patient with recommendations for further care or treatment.
Why Korea is a Top Destination:
- Expertise in fertility-focused hysteroscopy with internationally trained specialists.
- Use of next-generation HD hysteroscopic systems ensuring minimal trauma.
- Integration with comprehensive RPL and IVF programs.
- High patient safety standards, fast recovery, and cost-effective care.
- Strong track record of successful pregnancy outcomes following hysteroscopic correction.
Korean centers are leaders in reproductive endoscopy, offering cutting-edge surgical precision and holistic fertility management.
Cost Range
The cost of hysteroscopy in Korea varies depending on complexity:
- Diagnostic Hysteroscopy (simple): USD 400 – 800
- Operative Hysteroscopy (fibroid/polyp removal, septum resection): USD 1,000 – 2,500
- Office Hysteroscopy: USD 300 – 600
- Combined Hysteroscopy + Laparoscopy Evaluation: USD 2,000 – 3,500
Costs may include consultation, anesthesia, pathology, and follow-up, and are typically part of comprehensive fertility diagnostic packages.
Popular Clinics
Leading hospitals and fertility centers in Korea performing advanced hysteroscopic evaluations for RPL include:
- CHA Fertility Center (Seoul): Offers full diagnostic and operative hysteroscopy integrated with fertility treatment.
- Maria Fertility Hospital: Specializes in recurrent miscarriage and uterine anomaly correction.
- MizMedi Women’s Hospital: Equipped with modern endoscopic suites for precise hysteroscopic surgery.
- GynART Reproductive Center: Known for expert reproductive endoscopy and fertility optimization.
- Seoul National University Hospital: Offers academic excellence in minimally invasive gynecologic and fertility surgery.
