What is hysteroscopy?

Hysteroscopy is a minimally invasive surgical procedure that helps in getting a view inside the uterus and diagnosing the medical conditions.

How is hysteroscopy done?

Hysteroscopy is done with the help of a long and thin tube called a hysteroscope, also called a surgical telescope. This tube is inserted into the uterus through the vagina and cervical canal. It allows the doctor to get a view inside the uterine cavity, including the opening of the Fallopian tubes. It also helps in the examination of the cervix, the cervical canal, and the vagina.

Why is hysteroscopy done?

Hysteroscopy is an effective and safe procedure to diagnose and treat certain medical conditions like abnormalities of the uterus and the cervical canal. It thoroughly examines the inner and outer lining of the uterus and thereby evaluates the problem within the muscular wall or those present on the outer surface of the uterus.

It is also done under the following conditions-

• Removal of adhesions or scars
• Diagnosing the cause of repeated miscarriages
• Performing sterilization

When is hysteroscopy recommended?

Hysteroscopy is recommended to evaluate and treat certain gynecological conditions like-

• Abnormal vaginal bleeding
• Severe abdominal pain
• Tumors ascertaining to fibroids or polyps
• Scarring or adhesions inside the uterus
• Congenital anatomical abnormalities of the female genital tract
• Retained placenta
• Products of conception after the birth of miscarriage

Is hysteroscopy a safe procedure?

Yes, hysteroscopy is fairly safe and one of the highly effective ways to get over some complex uterine abnormalities. However, being a surgical procedure, it may lead to a few risks like-

• Urinary tract infection
• Injury to the cervix
• Heavy bleeding
• Cramps
• Side effects of anesthesia

Is hysteroscopy a long procedure?

No, unlike other surgeries, hysteroscopy is an outpatient procedure. It does not take more than 1 to 2 hours to complete. Also, the recovery time is less. The doctor will discharge you once the affects of anesthesia wore off and you are properly observed and monitored for a few hours after the surgery. You may experience mild pain that will subside only after a few hours of surgery. You can resume work from the next day or depending upon your comfort.

What are the aftercares?

Once you are done with hysteroscopy, you have to avoid indulging in rigorous activities. At the same time, it is advised to follow certain instructions for a few weeks to prevent chances of any infection. These are-

• Using sanitary pad instead of a tampon
• Avoiding intercourse
• Preferring taking shower rather bath

When should I call my doctor?

You may experience light spotting for 3-4 days, which is completely normal after hysteroscopy. However, you should contact the doctor immediately if there are symptoms like-

• Vomiting
• Nausea
• Heavy vaginal bleeding
• High fever
• Severe abdominal pain

Will hysteroscopy affect my fertility?

No, hysteroscopy will not affect fertility. In fact, it helps in eliminating the infertility factors and helps you in conceiving and reaching the full term during pregnancy.