What is a Hysteroscopy?
Hysteroscopy is a procedure, which enables your doctor to visualize the cavity of your womb. A fine telescope is passed through the neck of your womb (cervix) following which the cavity of your womb is visualized. Small polyps can be removed while performing this procedure.
Hysteroscopy can be done as an outpatient or as a day case procedure under general anaesthesia. Small tissue biopsies of the lining (endometrium) of the womb will usually be obtained on completion of this procedure.
What are the indications of Hysteroscopy?
Hysteroscopy is done to investigate
- Irregular or heavy menstrual bleeds
- Bleeding between two periods
- Infertility
- Bleeding after menopause
Operative hysteroscopy is performed
- to assess patency of the fallopian tubes by passing a fine cannula
- to remove uterine polyps, fibroids
- to remove uterine adhesions / scarring /septa
- to locate a missing coil
Are there any risks / side effects involved with Hysteroscopy?
Common risks include pain, bleeding from the vagina and infection whereas there is a risk of accidental perforation (hole) to the womb, which is rare. Other risks of note include failure to gain access the uterine cavity.
What to expect before the procedure?
Once you are admitted to the department, our anaesthetist will see you and assess you following which he/she will discuss the type of anaesthesia and its risks. After this your Gynaecologist will explain the procedure to you and ask you to sign a consent form.
You will need to inform us if you are allergic to any medications. You will be provided with a hospital gown prior to being taken to theatre. You will be advised to remove all your clothing and wear the hospital gown.
What to expect following Hysteroscopy?
The doctor who performed the procedure will discuss his findings prior to your discharge from the hospital. He/She will also discuss your further management plan. If Hysteroscopy was done under general anaesthesia, you should have someone with you for at least 24 hours after the procedure. You will experience mild cramps and bleeding after the procedure. This usually subsides within a 5 – 7 days. You are advised to use sanitary pads rather than tampons as this reduces risk of infection. If there is a suspicion of infection you will need a course of antibiotics. You will be provided with painkillers for at least 2 days.
Things of note
There are no dietary restrictions after discharge.
You can shower as normal.
Sexual intercourse can be resumed when you feel comfortable.
