Hysteroscopy

Hysteroscopy

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Hysteroscopy is performed by inserting a delicate camera (3 mm) through the cervix to visualize the uterine cavity.

What are the different types of hysteroscopy?

Diagnostic: the uterine cavity is visualized and a biopsy can be taken if necessary

Surgical: when an extirpation of polyps, myomas, etc. is carried out

 

What are the indications of a hysteroscopy?

1-Diagnostic Hysteroscopy:

  • Dysfunctional uterine bleeding
  • Postmenopausal metrorrhagia
  • Infertility evaluation
  • IUD retention

 

2-Surgical hysteroscopy

  • Endometrial polyp
  • Submucosal myoma
  • Uterine septum

 

Where is a hysteroscopy performed?

Diagnostic hysteroscopy does not require admission or anesthesia and is performed in an outpatient procedure room. Surgical hysteroscopy requires general anesthesia because a 5 mm camera is required, so it is necessary to dilate the cervix a little more. It is done in the hospital but the admission is not necessary. If complications do not arise (which are extremely rare), after 2-3 hours after the procedure, the patients are discharged.

 

How long is the hysteroscopy?

The diagnostic hysteroscopy usually lasts about 10 – 15 minutes and the surgical hysteroscopy between 20 – 30 minutes.

 

Is a hysteroscopy painful?

Hysteroscopy is a test well tolerated by the vast majority of patients. The discomfort the patients usually refer after the intervention is similar to that of menstruation. In any case, analgesics or anxiolytics (ibuprofen, lexatin, valium) can be taken 1 or 2 hours before the test.

 

What discomfort can a hysteroscopy cause?

The most frequent discomforts are:

  • Vaginal bleeding, which will diminish with the passing of days, usually disappears after 7-10 days.
  • Pelvic pain, similar to menstruation, lasts 24 – 48 hours, you can use analgesics.

 

What is the risk of hysteroscopy?

The possibility of complications is very low, around 0.2%. For example: vaso vagal reaction (fainting), acute pain, uterine perforation and infections.

 

What are the recommendations after a hysteroscopy?

  • Recommended rest about 12 hours after the intervention.
  • Do not restart sex until after 15 days.
  • The following would be reason to go to Emergency:
  • Fever> 38ºC
  • Pain that does not subside with analgesics
  • Vaginal bleeding that is increasing.
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