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What is Hysteroscopy?
Hysteroscopy is a medical procedure in which the uterine cavity is examined through the cervix using an endoscopic tube known as a hysteroscope. Abnormalities and problems related to the uterus may be diagnosed and treated during a hysteroscopy. Surgical sterilization may also be done using hysteroscopy which helps the doctor to locate an area for biopsy. Hysteroscopy may be performed as an alternative or in addition to dilation and curettage (D&C).
How is Hysteroscopy Performed?
- Hysteroscopy is performed using a hysteroscope, which is a thin endoscopic instrument with a light and camera attached to its end.
- A speculum is used to open the vagina.
- Then the cervix is dilated and the hysteroscope is inserted into the uterus through the cervix.
- Gas or fluid may be used to inflate the uterus.
- Tiny surgical instruments can be passed through the hysteroscope which helps to surgically remove polyps and fibroids.
- Tissue samples may be extracted for examination.
- A magnified view of the uterus lining and uterine openings of the fallopian tube is viewed during hysteroscopy.
- Patients experience mild cramping during the procedure if local anesthesia is used.
How to Prepare for Hysteroscopy?
- The patient needs to go through a thorough physical examination.
- The doctor should be informed if the patient is
- Pregnant
- Taking any medication
- Allergic to any medication
- Treated for any pelvic, uterine, cervical or vaginal infection 6 weeks prior to hysteroscopy
- Suffering from heart or lung ailments
- The patient is advised to undergo hysteroscopy when the patient is not menstruating.
- The patient should not use tampons, douche or vaginal medicines for 24 hours prior to hysteroscopy.
- Arrangements should be made for someone to drive the patient home.
Duration of procedure/surgery:Approximately 30 minutes
Days admitted:Hysteroscopy is usually done as an outpatient procedure.
Anesthesia:General anesthesia or local anesthesia, depending on the requirements
Recovery:- The patient is taken to the recovery room and monitored for 1 to 4 hours.
- The patient will normally experience mild abdominal pain, light vaginal bleeding and cramping after the procedure.
- Pain medication may be prescribed by the doctor.
Risks:Rare complications include:
- Infection
- Prolonged bleeding
- Uterus, bladder or bowel perforation
- Over absorption of fluid from the uterus to the bloodstream
- Risks of general anesthesia
After care:The patient should inform the doctor if the following symptoms occur:
- Severe bleeding
- Abnormal discharge
- Fever
- Severe abdominal pain
- Urinating problem
- Breathing difficulty
- Vomiting
Learn more about Hysteroscopy