What is Hysteroscopy?
Hysteroscopy is a minimally invasive procedure used to examine the inside of the uterus. It involves the insertion of a thin, lighted tube called a
hysteroscope through the vagina and cervix into the uterine cavity. This allows gynecologists to diagnose and treat various intrauterine conditions.
Diagnostic Hysteroscopy: This is used to examine the uterine cavity and diagnose any abnormalities. It is often performed in an outpatient setting and may not require anesthesia.
Operative Hysteroscopy: This is used to treat identified intrauterine conditions. It usually requires anesthesia and involves the use of specialized instruments passed through the hysteroscope to perform the necessary surgical interventions.
Abnormal uterine bleeding
Infertility
Recurrent miscarriage
Removal of intrauterine devices (IUDs) that are embedded or have migrated
Diagnosis and treatment of uterine anomalies
Avoiding food and drink for a few hours if general anesthesia is planned
Discussing any medications with your doctor, as some may need to be paused
Receiving instructions on the use of any preoperative medications to dilate the cervix
You will be positioned similarly to a pelvic exam.
The hysteroscope is gently inserted through the vagina and cervix into the uterine cavity.
A saline solution is often used to distend the uterus for better visualization.
The gynecologist examines the uterine cavity and may perform necessary treatments if it is an operative hysteroscopy.
Infection
Heavy bleeding
Injury to the uterus, cervix, or surrounding organs
Adverse reaction to anesthesia
What is the Recovery Like?
Recovery from hysteroscopy is usually quick. You might experience mild cramping, spotting, or discharge for a few days. Most patients can return to normal activities within a day or two. However, it is important to follow any specific post-procedure instructions given by your gynecologist.
Each alternative has its own indications, benefits, and limitations, which should be discussed with your gynecologist to determine the best approach for your specific condition.
Conclusion
Hysteroscopy is a valuable diagnostic and therapeutic tool in gynecology. It provides direct visualization of the uterine cavity, enabling accurate diagnosis and treatment of various intrauterine conditions with minimal invasiveness. Patients considering a hysteroscopy should discuss the benefits, risks, and alternatives with their gynecologist to make an informed decision.
