HYSTEROSCOPY

Hysteroscopy is an examination of the interior of the uterus via an optical telescope called hysteroscope. Hysteroscopy is performed in diagnostic purposes and a surgical method to treat certain gynecological conditions.

Why is hysteroscopy needed?

Hysteroscopy is used to discover the cause for conditions such as:

  • Unusual bleeding
  • Sterility
  • Previous full-term pregnancy problems
  • Other gynecological ailments

Hysteroscopy can be used to remove polyps, septum or myoma that are in the uterine interior. 

Hysteroscopy usually lasts 20-30 minutes. If it is done as a mere examination, it can be done without anesthesia, but if it is done in the name of an intervention, it can be done with anesthesia, in order to be painless. But in case of a scheduled hysteroscopy intervention, you shouldn’t eat and drink anything at least 6 hours prior to the anesthesia administration. Once the HD camera attached to the hysteroscope enters the womb, the operator gets a clear image on the HD monitor. In order to see things clearly, the uterus could be filled up with fluid.  After the inspection or the intervention is over, the hysteroscope is quickly and easily removed. In most cases, you could leave the hospital a few hours later.

What to expect after a hysteroscopy?

You could feel mild abdominal pain that could be dealt with painkillers. The day hysteroscopy was performed, you should be resting. The first menstrual cycle after this intervention could be more difficult and longer lasting than a normal cycle and the next few periods could be irregular as well, though it is not for certain. To avoid possible infections, it is recommended not to use tampons for at least 2 months after the hysteroscopy. You should also avoid having sexual intercourse for 1-3 weeks after the hysteroscopy, depending on whether it was an inspective examination or an intervention.

Prior to having the hysteroscopy done on you, you should be informed of the possible complications. You should inform your doctor if there are dire changes, sharp pain even after 48h after the intervention, if there is abdominal bloating, if you have high fever or if there is a dark vaginal discharge with an unpleasant odor.

 There are rare cases when the hysteroscopy isn’t completely successful and has to be repeated. In extremely rare cases, the uterus could be perforated during the operation, causing bleeding and/or infections that need to be treated appropriately. The extent and complexity of the complications depend on both the type of intervention and the general health condition of the patient.

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