This is a trans-vaginal procedure, in which the telescope (attached to camera) is passed into uterus. This helps to evaluate uterine cavity. It is of special importance to deal with the following lesions using hysteroscopy
1-Endometrial polyps
2-Intrauterine adhesions
3-Sub mucus fibroids protruding inside uterine cavity
4-Uterine septum

Up till now, there is no strong evidence to suggest doing hysteroscopy before first trial of IVF/ICSI.

There is rising evidence to suggest doing hysteroscopy in cases with previous failed trials

In Rahem Fertility Center, we follow the up to date evidence. We do hysteroscopy with best modalities for those           with previous trials or with suspected endometrium.