Watch how a hysteroscopy is performed using this simulation provided by @richardwolfgroup! A hysteroscope (thin, lighted camera) is inserted through the vagina and cervix and into the uterus. Air or fluid may be injected into the uterus for easier visualization. The uterine environment is then visualized for abnormalities such as polyps or fibroids. While diagnostic hysteroscopies are typically not performed under sedation, surgical hysteroscopies typically are. Talk with your doctor about pain