Hysteroscopy

Aim: 'Walk in - Walk out ' for intrauterine problems

What is Hysteroscopy?

Hysteroscopy is a procedure that allows to look inside the womb (uterus) for diagnostic and operative purposes in office.The method involves the use of a slender telescope equipped with a light and camera, known as a hysteroscope, to examine the cervix and the interior of the uterus. We have the latest in office hysteroscopy equipment, including a 2.9 mm hysteroscope which results in significantly less patient discomfort compared to the older 5 mm hysteroscopes, and usually allowing no need to dilate the cervix.

When is Hysteroscopy performed ?

– Heavy or irregular bleeding that has not got better with medication
– Bleeding after your menopause
– Infertility
– Remove polyps, small fibroids – small lumps of tissue growing on the lining of the womb (uterus)
– Remove adhesions (areas where the walls of the uterus are sticking together)
– Remove non-cancerous growths (fibroids) in the uterus
– Incomplete abortion instead of the traditional D and C
– Submucous Fibroid

What you would experience during office hysteroscopy?

Office hysteroscopy is usually done without anaesthesia and takes about 30 minutes. It is a walk in procedure without the need to change your clothes.
You need not be fasting for the procedure unless specified by the doctor. You and attender can be part of the procedure.

What is done in office hysteroscopy?

A no touch technique ( vaginoscopy) is performed, and then a tiny telescope with a camera is placed through your vagina and cervix into the uterine cavity. The sterile salt water is instilled into the uterus so that you can see the walls. There is a TV monitor allowing you and your doctor to visualize the inside of the cavity.

FAQs:

Is hysteroscopy painful ?

Some women feel some cramping, especially when the sterile salt water is instilled.

Is it OK to get back to work after the procedure?

Many women have no pain after the hysteroscopy, but you may feel a little cramping. You can return to work immediately after the procedure. You need not take off from your daily activities.

Are there any risks of hysteroscopy?

The risks of the hysteroscopy include pain or discomfort, infection, and vaginal spotting or bleeding. Visit the hospital if you develop a fever, continuous bleeding, or continue to feel pain. It is normal to have spotting for 2-3 days after the procedure.

When is the best time during my cycle to schedule the hysteroscopy?

The hysteroscopy is usually scheduled after your period ends, but before you expect to ovulate, usually between days 5 – 10 of your menstrual cycle. You need to use protection during intercourse prior to the test. You may resume intercourse without protection 24 hours after the procedure.