Treatment of the abnormalities discovered during diagnostic hysteroscopy is done during operative hysteroscopy. Similar to diagnostic hysteroscopy, operative hysteroscopy additionally uses narrow instruments placed through outlets in the operative hysteroscope into the uterine cavity. Fibroids, polyps and scar tissue can be removed from inside the uterus. It may also help in the correction of certain structural abnormalities, such as a uterine septum.

In order to make the uterus ready for surgery, you may be put on certain medications. A balloon catheter or similar device may be inserted inside the uterus at the conclusion of surgery. In order to prevent infections and to stimulate the healing process of the endometrium your health professional may prescribe antibiotics and/or estrogen after certain types of uterine surgery.

Excessive uterine bleeding can be treated with a procedure known as endometrial ablation. In this process the lining of the uterus is destroyed and is not performed in women who plan to have a pregnancy.