Laparoscopy and hysteroscopy are both minimally invasive surgical procedures used to diagnose and treat conditions of the female reproductive system. While they are often performed together (sometimes called a “combined lap-hyst”), they look at different areas using different methods.
Laparoscopy
This is often referred to as “keyhole surgery.”
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The Process: The surgeon inflates the abdomen with carbon dioxide gas to create space. A laparoscope is inserted through the navel to give a clear view of the pelvic organs.
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Why it’s done: It is the gold standard for diagnosing endometriosis or checking if fallopian tubes are blocked. It is also used to remove ovarian cysts or the gallbladder.
2. Hysteroscopy
This focuses strictly on the “room” inside the uterus.
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The Process: The hysteroscope is passed through the natural opening of the cervix. Fluid (saline) is used to expand the uterine walls so the surgeon can see the lining clearly.
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Why it’s done: Often used to investigate recurrent miscarriages, unexplained infertility, or to remove small growths like fibroids or polyps that might be interfering with pregnancy.
Recovery & Expectations
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Time: Both are usually outpatient procedures (you go home the same day).
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Sensation: With laparoscopy, you may feel “shoulder pain” for 24–48 hours; this is just the gas used during surgery dissipating. With hysteroscopy, you might experience mild cramping similar to a period.
Healing: Laparoscopy involves tiny stitches that usually dissolve; hysteroscopy has no external wounds to heal.