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Hysteroscopy

What is a hysteroscopy?

A hysteroscopy is used to examine the inside of the cervix, the female reproductive organs, and the fallopian tubes; using electric current, heat, and chemicals, a hysteroscope is introduced through the vaginal wall to obtain a tissue sample for biopsy and the removal of fibroid tumours and tissue destruction to prevent bleeding.

Who requires a hysteroscopy?

This operation may be recommended if you have abnormal Pap test results, abnormal uterine bleeding, bleeding after menopause, recurring miscarriages, polyps, fibroids, uterine scarring, removal of the endometrial lining, or other disorders related to it. We do not recommend this operation if you are pregnant.

When is a Hysteroscopy Necessary?

Surgeons may offer this treatment for women who are suffering from abnormal Pap test results, abnormal uterine bleeding, or bleeding after menopause, as well as those who are looking to remove polyps (fibroids), uterine scarring, or the endometrial lining. This operation isn’t safe to have if you’re expecting a child.

Is hysteroscopy safe? What are the drawbacks?

There is a risk of vaginal bleeding, cramping, infection, pelvic inflammatory disease (PID), damage or rupture to the cervix, and risks from the gas used to expand the uterus. Hysteroscopy may be complicated by pelvic inflammatory illness, vaginal discharge, an inflamed cervix, and a bloated bladder.

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In the process of a Hysteroscopy, what exactly happens?

It can be performed as an outpatient procedure or necessitates a night in the hospital. Procedures may differ depending on the patient’s medical condition. Prior to undergoing this treatment, you should empty your bladder.

Typically, an antiseptic solution is used to clean the vagina and the cervix is dilated by the surgeon before the device is inserted into the uterus. The surgeon will use a hysteroscope to inject a liquid or gas into the uterus in order to get a clear picture. As a result, the surgeon will do any necessary treatment and may even perform a biopsy on the uterus. 

A laparoscope, which allows the surgeon to see into the uterus from the outside, may be used in more difficult circumstances. The hysteroscope is removed at the end of the procedure.

Recovery

Initial cramping and spotting, shoulder pain, nausea and lightheadedness may follow the surgery. The recovery time depends on the hysteroscopy’s purpose. After the hysteroscopy, you can eat and drink as usual. You’ll be out of the hospital in under an hour if the surgery is done under only local anaesthetic.

Wait until the anaesthetic effects have worn off if the surgery is done using regional anaesthesia. Depending on the amount of anaesthetic used, the procedure may take less than an hour or more than an hour. A few hours following the procedure, you can return home if your surgeon used general anaesthetic, 

In order to hasten the healing process, the surgeon will prescribe medications. You must take a few days off before returning to your normal routine. To have the best chance of a quick recovery, make sure you do everything your doctor says. Sexual activity should be avoided for at least one week.

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