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Hysteroscopy is performed to view the inside of your uterus. Hysteroscopy can be used to diagnose or correct a problem in your uterus without needing to make an incision in your abdomen.

The uterus is the hollow organ in your lower abdomen where a baby grows during pregnancy. Each month during a woman’s childbearing years the inner layer of her uterus called the endometrium builds up with extra blood and tissue to prepare for pregnancy. When pregnancy does not happen the extra tissue sheds through the vagina during menstruation.

In a diagnostic Hysteroscopy your doctor will use the Hysteroscope to examine the inside of your uterus.

Hysteroscopy

A diagnostic Hysteroscopy maybe done to

  1. Evaluate causes of abnormal uterine bleeding.
  2. Investigate possible causes of infertility.
  3. Repeated miscarriages.
  4. Detect benign or non-cancerous growths in your uterus like fibroids, polyps, scarring or malformations.

In an operative hysteroscopy your doctor will insert small tools through the hysteroscope to take a biopsy remove a growth such as a polyp or treat other problems.


An operative hysteroscopy may be done to

  1. Remove benign growths from your uterus.
  2. Obtain a tissue sample or biopsy from the lining of your uterus.
  3. Locate an intrauterine device or IUD.
  4. Place small devices in your fallopian tubes as a form of permanent birth control.

The Hysteroscopy is done with the help of an instrument called the Hysteroscope. It has tubes in it with an in-flow and out-flow of gas or liquid for the expansion of the uterine cavity, a light source tube and also a tube carrying the small camera which helps the surgeon in viewing the contents.


Hysteroscopy

Surgical Preparation

Anaesthesia


Before your procedure you may be given either; General, Regional, Local anaesthesia.


Procedure of the Surgery

  1. Your doctor will begin by inserting a speculum to spread open the walls of your vagina.
  2. Then the doctor will then pull the cervix toward the entry of the vagina.
  3. Next your doctor will use instruments called dilators to open up your cervix.
  4. Your doctor will guide a Hysteroscope, a thin device equipped with a camera and light through your vagina and into your uterus.
  5. The camera transmits images of your uterus to a screen.
  6. Your doctor will inject gas or fluid to expand your uterus making it easier to locate abnormal tissue in your uterus.

After the procedure your doctor may recommend medication for pain relief, you should be able to return to your normal activities within one to two days after your procedure.

You may have mild cramping and some bloody discharge for several days.

Procedure of the Surgery

Possible Side-Effects

  • Infection
  • Bleeding
  • Damage to the Cervix
  • Tearing of the Uterus (Less-Likely)
  • Complications due to the fluid or gas used

Some Minor Look-Outs

  • Can go back to normal diet.
    • If the patient feels nauseatic, prefer light meals.
  • Can take showers the same day.
    • Effects of anaesthesia can cause dizziness, have another adult around.
  • Avoid having sexual intercourse.
    • Refrain it for a week or until bleeding stops to reduce risk of infection.

Medical Emergency Like Situation

  • Severe pain which does not subside even after the consumption of pain-killers.
  • Abnormally heavy bleeding.
  • In case of passing bright red blood or large clots of blood.
  • In case of foul smelling vaginal discharge.
  • In case of feeling hot and shivery for longer period of days.

Specialist


Dr. Roopa Prasad
Dr. Roopa Prasad