What Happens at the Time of Hysteroscopy?

 

A hysteroscopy surgery refers to a minimally invasive procedure that is used to examine the interior of the uterus. It’s commonly performed to diagnose and treat various uterine conditions, such as abnormal bleeding, polyps, fibroids or structural abnormalities.

Understanding what happens during a hysteroscopy can help alleviate any anxiety and prepare you for the procedure. Know more about it from one of the best gynecologists.

Pre-Procedure Preparation

Before the hysteroscopy, your doctor will give you detailed instructions on how to prepare. This may include:

• Fasting: You may need to fast for a few hours before the procedure, depending on whether sedation or anesthesia is used.

• Medications: Your doctor may advise you to stop certain medications, especially blood thinners to minimize bleeding risks.

• Pre-Procedure Testing: Sometimes, pre-procedure tests like blood work or imaging may be required.

During the Procedure

1. Anesthesia and Sedation: A hysteroscopy surgery can be performed under local, regional or general anesthesia. It mainly depends on the complexity of the procedure and your comfort level. Local anesthesia numbs the cervix and uterus, while general anesthesia puts you to sleep.

2. Insertion of the Hysteroscope: The procedure starts with the insertion of a hysteroscope, a thin, lighted tube equipped with a camera into the vagina and through the cervix into the uterus. The hysteroscope enables the doctor to view the uterine lining on a monitor.

3. Uterine Expansion: To get a clear view, the doctor will gently inflate the uterus using a sterile fluid, such as saline or carbon dioxide. This process, known as distension, expands the uterine walls and provides better visualization of the internal structures.

4. Examination and Treatment: Once the uterus is adequately distended, the doctor examines the uterine lining for abnormalities. If necessary, surgical instruments can be passed through the hysteroscope to perform procedures such as:

• Polypectomy: Removal of polyps.

• Myomectomy: Removal of fibroids.

• Endometrial Biopsy: Sampling of uterine tissue for further examination.

After the examination and any necessary treatments, the hysteroscope is gently removed. The fluid used for distension is drained out of the uterus.

Post-Procedure Care

Following the hysteroscopy, you might experience mild cramping, spotting or discharge. These symptoms are usually temporary. Your doctor will give you instructions on how to manage these symptoms.

Recovery Time

Most patients can go back to their normal activities within a day or two. But, its advisable to avoid strenuous activities for a short period.

Conclusion

A hysteroscopy surgery is a valuable diagnostic and treatment tool for various uterine conditions. Always follow your doctor’s instructions for the best outcomes and recovery.