Monday, June 19, 2023

All about hysteroscopy

Hysteroscopy is a method for inspecting the uterus from the inside. A hysteroscopy, a slender telescope outfitted with a light and camera, is used for this procedure. Your doctor or specialised nurse can view images of the interior of your womb on a screen. The hysteroscope is placed into the uterus through the vagina and cervix; thus, no incisions are necessary.

When can a hysteroscopy be performed?

 It is possible to utilise a hysteroscopy to:

Examine The Signs of an Issue - symptoms like those of menstruation, bleeding during or after menopause, pelvic pain, miscarriages, and infertility

Condition Diagnoses - like uterine fibroids and polyps (benign tumours that can develop in the uterus).

 Remediate Illnesses and Issues – intrauterine adhesions (scar tissue that causes missed periods and impaired fertility) are also removed during these procedures, along with fibroids, polyps, and displaced intrauterine devices (IUDs).

Dilatation and curettage (D&C) --- was once the standard method for examining the uterus and removing tumours, but today hysteroscopies are performed instead.

Hysteroscopy Procedure: What to Expect

In most cases, a hysteroscopy can be done on a day-case or outpatient basis. This means that a hospital overnight stay is not necessary.

Although general anaesthetic is not always utilised, local drug (administering medication to numb your cervix) is commonly employed.

A general anaesthetic could be administered if you need treatment during the surgery or would rather be unconscious.

The entire procedure for a hysteroscopy can take up to 30 minutes; however, if it is performed solely for diagnostic or symptomatic purposes, it takes only 5 to 10 minutes.

 Is it uncomfortable to get a hysteroscopy?

 The answers to this question range widely among women. Hysteroscopy can cause varying degrees of discomfort in different women.

 Tell the doctor or nurse if the procedure is too painful for you to bear. At any time, they can halt the process.

 If you're anxious about the treatment, it's a good idea to talk to the doctor or nurse about your concerns and pain management alternatives before the procedure begins.

 Post-hysterectomy recovery

Some women return to work the same day, although most say they feel fine the day after.

If you've had general anaesthesia, you may need a few days off work for recovery.

 When you're feeling better:

 

  • You're OK to go for food and drink right away.
  • Period-like cramps and mild bleeding for a few days are common and usually do not cause alarm unless they persist or become more severe.
  • To lessen the likelihood of infection, abstain from intercourse for a week or until the bleeding has stopped, whichever comes first. 
  • Before you are discharged, you will review the procedure's results with your doctor or nurse.

 Risks of a hysteroscopy

 Hysteroscopy carries a low chance of serious adverse events, although this is true of any medical procedure. Women who have treatment during a hysteroscopy are at a higher risk. Hysteroscopy has the same potential risks as any other medical procedure, such as:-


  • Complications caused by the anaesthesia
  • Infection
  • Infrequent tearing or injury to the cervix
  • Contamination of the uterine cavity by gas or fluid
  • Consequences to neighbouring organs, such as the bladder, intestines, or ovaries
  • Inflammatory illness of the pelvis

If you get a fever, severe stomach pain, or significant bleeding after surgery, you should seek medical attention immediately.

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