Hysteroscopy

Understanding Hysteroscopy

Hysteroscopy is a minimally invasive procedure used to examine the inside of the uterus. It involves using a thin, lighted tube called a hysteroscope, which is inserted through the vagina and cervix into the uterus. This allows your doctor to diagnose and treat various uterine conditions without the need for major surgery.

Why is Hysteroscopy Performed?

Hysteroscopy may be recommended for diagnostic or therapeutic purposes, including:

- Investigating abnormal uterine bleeding

- Diagnosing the cause of infertility or repeated miscarriages

- Removing uterine polyps or fibroids

- Treating adhesions (scar tissue) inside the uterus

- Performing endometrial ablation to treat heavy menstrual bleeding

- Removing retained tissue after a miscarriage or delivery

- Locating or removing an intrauterine device (IUD)

Types of Hysteroscopy

• Diagnostic Hysteroscopy: Used to examine the uterine lining and identify any abnormalities.
• Operative Hysteroscopy: Involves using small instruments inserted through the hysteroscope to treat conditions detected during the diagnostic procedure.

Preparing for a Hysteroscopy

- Your doctor may recommend scheduling the procedure during the first week after your menstrual period when the uterine lining is thin.

- Avoid using tampons, douches, or vaginal medications before the procedure.

- You may be advised to take pain relief medication beforehand.

- In some cases, sedation or anesthesia may be used for comfort.

What to Expect During the Procedure

- The procedure typically takes 10 to 30 minutes.

- The hysteroscope is gently inserted through the vagina and cervix into the uterus.

- A saline or carbon dioxide solution may be used to expand the uterus for a clearer view.

- If an operative procedure is necessary, small surgical instruments can be passed through the hysteroscope.

Recovery After Hysteroscopy

- Most women can go home the same day.

- You may experience mild cramping, spotting, or discharge for a few days.

- Avoid sexual intercourse, using tampons, or douching for a specified period as advised by your doctor.

- Rest and avoid strenuous activities for 24 hours if sedation was used.

Risks and Complications

Hysteroscopy is generally safe, but like any procedure, it carries some risks, including:

- Uterine perforation (a small hole in the uterus)

- Infection

- Bleeding

- Adverse reaction to anaesthesia or fluids used during the procedure

When to Contact Your Doctor

Seek medical attention if you experience:

- Heavy bleeding

- Severe abdominal pain

- Fever or chills

- Foul-smelling vaginal discharge

Conclusion

Hysteroscopy is a valuable tool for diagnosing and treating a range of uterine conditions. It is minimally invasive, has a quick recovery time, and often provides immediate results. If you have concerns about your menstrual health, fertility, or other gynaecological symptoms, speak with your healthcare provider to determine if a hysteroscopy is right for you.