Care · Hysteroscopy

Diagnostic hysteroscopy: the examination of the inside of the uterus, at the practice, without general anesthesia, in Paris 16th

Diagnostic hysteroscopy is the direct examination of the uterine cavity with a thin endoscope passed through the cervix. It is offered for unexplained bleeding, an anomaly seen on ultrasound — polyp, fibroid, adhesion —, as part of a fertility work-up, or after uterine surgery. At the practice, 42 avenue Mozart, Dr Chaima Gatri, OB-GYN and gynecological (gynaecological) surgeon, performs it during the consultation, without general anesthesia (anaesthesia), with the Delmont Imaging iCare hysteroscopy system of the practice's equipment; you watch the examination on the screen, and you leave with your printed report. If a procedure is needed, Dr Gatri also performs operative hysteroscopy, at the Clinique de la Muette, a five-minute walk away. English-speaking practice.

Updated on 8 October 2026

Why

When diagnostic hysteroscopy is offered

Abnormal bleeding — periods that are too heavy or too long, bleeding between periods or after intercourse, and any bleeding after the menopause: the examination looks at the lining and the cavity from the inside.
An anomaly seen on ultrasound — polyp, fibroid distorting the cavity, thickened lining, septum, adhesion (synechia): hysteroscopy confirms it, measures it and locates it.
A fertility work-up, or repeated miscarriages — the cavity needs to be free and regular; the examination checks it, alongside ultrasound.
After uterine surgery — a check of the cavity after myomectomy, resection or curettage.
A lost IUD (coil) — the examination locates it and allows its removal at the same time.
On referral — your gynecologist (gynaecologist) or your GP refers you for the examination: you are seen like every patient of the practice, and you leave with the report for the doctor who follows you.

The uterus in cross-section, front view (diagram). The endometrium, in pink, is the lining of the uterine cavity: the examination looks at the lining and the cavity from the inside.

Book an appointment — Doctolib, Dr Gatri, reason “Hystéroscopie diagnostique” (diagnostic hysteroscopy)

How it goes

The examination, step by step

The right time — in the first half of the cycle, just after your period, when the lining is thin and the cavity easy to read; after the menopause, at any time. An ongoing pregnancy rules out the examination: if in doubt, a test is done beforehand.
Before — you eat normally; no special preparation. Depending on your case, Dr Gatri tells you to take a simple painkiller an hour before.
Positioning — in the gynecological position. The hysteroscope is a thin tube, about three millimetres (millimeters) across, fitted with an optic; it passes through the cervix without dilating it in the great majority of cases, and without anesthesia.
The saline — a little saline is passed through the hysteroscope to open up the cavity and make it visible; a period-like sensation during the examination is usual.
The image — the Delmont Imaging iCare system shows the cavity in high definition on the room's 65-inch screen; Dr Gatri shows you what she sees, live, and the images are kept in your file.
A sample, if useful — a biopsy of the lining can be taken at the same time and sent to the laboratory.
Duration — five to ten minutes of examination, within a half-hour consultation.

Diagnostic hysteroscopy (diagram). The hysteroscope, a thin tube fitted with an optic, passes through the cervix; a little saline opens up the cavity and makes it visible.

Afterwards

Results, aftercare, and if a procedure is needed

The report — handed to you printed at the end of the consultation, with the images, in a folder of the practice; sent to the doctor who follows you if you were referred. A biopsy result is given to you by Dr Gatri as soon as it arrives.
Aftercare — mild cramps for a few hours and light bleeding for a day or two are usual. You resume your activities the same day. Intercourse resumes once the bleeding has stopped.
If a procedure is needed — a polyp to remove, a fibroid bulging into the cavity, a septum or adhesion to divide, a lining to treat: that is operative hysteroscopy, surgery through the natural passages, with no incision, performed by Dr Gatri at the Clinique de la Muette, under anesthesia, as day surgery. It is described on the Gynecological surgery page. The quotation and the information sheet are given to you at the consultation.

Operative hysteroscopy (diagram). Surgery through the natural passages, with no incision: a fluid distends the cavity, and instruments remove a polyp, a fibroid or a septum; here, a fibroid protruding into the cavity.

Information

Risks and complications: what to know before deciding

Dr Gatri gives you the information sheet of the French College of Gynecologists and Obstetricians (CNGOF) on hysteroscopy, whose terms are reproduced here; the sheet covers both the in-office examination and the procedure at the clinic.

Simple aftermath — according to the CNGOF sheet, hysteroscopy is a common procedure whose aftermath is painless and simple in the majority of cases; modern hysteroscopes, about 3 mm in diameter, allow the diagnostic examination as an outpatient, without anesthesia.
Rare — a perforation of the uterus can sometimes occur during the examination; it generally requires no intervention, and a laparoscopy is sometimes needed to rule out an exceptional injury to a neighboring (neighbouring) organ. Afterwards, an infection of the uterus (endometritis) is rare and may require antibiotics.
What favors (favours) them — some risks are favored by your condition, your history or a treatment taken beforehand: it is essential to tell Dr Gatri about your personal and family history, all your treatments and your allergies.
Signs that should make you call — pain, heavy bleeding, fever, vomiting or any other anomaly: it is essential to inform your doctor.
The sheet given to you — CNGOF information sheet — Hysteroscopy (English version).

Frequently asked questions

Your questions, our answers

Will I have surgery on the day of the consultation?

The consultation for surgery is an appointment at the practice. Dr Gatri examines your situation, explains the planned procedure and answers your questions. If the procedure is decided on, you receive a quotation and an informed-consent form; once they are signed, a date is set for the procedure at the Clinique de la Muette.

Does diagnostic hysteroscopy hurt?

It is done without anesthesia: the hysteroscope is thin and passes the cervix without dilating it in the great majority of cases. A period-like sensation, during the examination and for a few hours afterwards, is usual; a simple painkiller taken beforehand reduces it.

What is the difference with operative hysteroscopy?

Diagnostic looks: at the practice, during the consultation, without general anesthesia. Operative treats: at the Clinique de la Muette, under anesthesia, with instruments that remove a polyp, a fibroid or a septum. One often decides the other.

What is the difference with ultrasound?

Ultrasound sees the uterus from the outside, through its wall; hysteroscopy sees the cavity from the inside, directly. The two complement each other: ultrasound spots, hysteroscopy confirms and locates.

Do I need to fast?

No: you eat and drink normally.

When in the cycle?

Just after your period, in the first half of the cycle; after the menopause, at any time. Pregnancy rules out the examination.

Will I have the result straight away?

Yes: Dr Gatri sees the cavity live and hands you the printed report, with the images, before you leave. A biopsy result needs the laboratory's analysis.

Who performs the examination?

Dr Chaima Gatri, OB-GYN and gynecological surgeon, who establishes the indication, performs the examination at the practice and, if a procedure is needed, operates at the Clinique de la Muette.

Is it covered?

In part. Diagnostic hysteroscopy is partly covered by the French health insurance (Assurance maladie). The practice applies direct billing to the French national health insurance (tiers payant): with an up-to-date carte Vitale, you do not pay that part upfront. What remains payable by you includes the excess fee (dépassement d'honoraires), which may be reimbursed by your complementary insurer (mutuelle), depending on your policy. The practice's fees are on the Fees page.

Fees

Fees and reimbursement

Diagnostic hysteroscopy, at the practice: €250.
Consultation for surgery: €120 to €160.
This consultation takes place at the practice: Dr Gatri examines your situation and explains the options. If a procedure is decided on, you receive a quotation and an informed-consent form to sign; a date is then set for the procedure at the clinic.
Operative hysteroscopy, at the clinic — Dr Gatri's fee: €900. This fee includes neither the anesthesiologist nor the clinic charges.
Curettage, at the clinic — Dr Gatri's fee: €500. This fee includes neither the anesthesiologist nor the clinic charges.
A written quote is given to you at the consultation and signed before any booking. All fees and the framework: Fees.

Diagnostic hysteroscopy: the examination of the inside of the uterus, at the practice, without general anesthesia, in Paris 16th

When diagnostic hysteroscopy is offered

The examination, step by step

Results, aftercare, and if a procedure is needed

Risks and complications: what to know before deciding

Your questions, our answers

Will I have surgery on the day of the consultation?

Does diagnostic hysteroscopy hurt?

What is the difference with operative hysteroscopy?

What is the difference with ultrasound?

Do I need to fast?

When in the cycle?

Will I have the result straight away?

Who performs the examination?

Is it covered?

Fees and reimbursement

On the same subject

Gynecological surgery (operative hysteroscopy)

Uterine fibroids

Infertility

Menopause

Ultrasound

Equipment

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