5.3.8 Hysteroscopy in Surrogacy: When and Why It May Be Recommended

What Is Hysteroscopy?

Hysteroscopy is a minimally invasive diagnostic and treatment procedure used to examine the uterus and address potential concerns that may impact fertility or pregnancy. It involves inserting a thin, telescope-like device (hysteroscope) through the vagina and cervix into the uterus, allowing the physician to assess the uterine lining in detail.

Unlike routine medical screening for surrogacy, hysteroscopy is not typically required unless specific concerns arise during the initial evaluation. However, when necessary, this procedure can help ensure the uterus is in optimal conditionfor embryo implantation and pregnancy.

Why Might a Surrogate Need a Hysteroscopy?

During your medical screening, the fertility doctor will review your medical history and do an ultrasound. If they notice something that needs a closer look—like a possible polyp, fibroid, or scar tissue—they may suggest a hysteroscopy.

Some reasons this might be recommended include:

• Removing polyps or fibroids that could get in the way of embryo implantation
• Checking for scar tissue (also called adhesions) inside the uterus
• Looking more closely at the uterine shape if something looks off on an ultrasound or HSG
• Investigating unexplained irregular bleeding or other symptoms

What to Expect During a Hysteroscopy

Hysteroscopy is a short, minimally invasive procedure. It’s often done in an outpatient setting, either with local anesthesia or light sedation. Some women feel mild cramping, while others feel very little discomfort at all. The procedure itself usually takes less than 30 minutes, and recovery is quick—most people go home the same day and feel back to normal within a day or two.

It’s totally normal to have questions or concerns. Many surrogates ask:

“Does this mean something is wrong with me?”

Not at all. It just means the doctor wants to be extra thorough. Many women have small polyps or minor scarring without knowing it, and most of these are easy to treat.

“Will it hurt?”

Most surrogates tolerate it well. Some describe mild period-like cramps, but many feel little to no pain. Your doctor will go over what to expect based on your specific situation.

Who Performs a Hysteroscopy?

Hysteroscopies can be done at the fertility clinic by your reproductive endocrinologist, or sometimes by your personal OB-GYN if that’s more convenient. If your own doctor performs it, insurance might cover part of the cost—which can help reduce expenses for the intended parents.

The Importance of Early Detection and Treatment

At GSHC Surrogacy & Egg Donation, we believe that catching and addressing any potential uterine issues early on can make a big difference in the success of a surrogacy journey. While the idea of a hysteroscopy might feel intimidating at first, it’s actually a very common, low-risk procedure that gives doctors important information. When needed, it helps ensure the uterus is healthy and ready for a safe and successful pregnancy.