Hysteroscopy

Cross section of uterus showing hysteroscopy.Hysteroscopy is a procedure that is done to see inside your uterus. It can help find the cause of problems in the uterus. This helps your health care provider decide on the best treatment. In some cases, it can be used to perform treatment. Hysteroscopy may be done in your health care provider’s office or in the hospital.

Why might I need hysteroscopy?

Hysteroscopy may be done based on the results of other tests. It can help find the cause of problems. These can include:

  • Unusually heavy or long menstrual periods

  • Bleeding between periods

  • Postmenopausal bleeding

  • Trouble becoming pregnant (infertility) or carrying a pregnancy to term

  • To locate an intrauterine device (IUD)

  • To perform sterilization

What are the risks and complications of hysteroscopy?

Problems with the procedure are rare. But all procedures have risks. Risks of hysteroscopy include:

  • Infection

  • Bleeding

  • Tearing of the uterine wall

  • Damage to internal organs

  • Scarring of the uterus

  • Fluid overload

  • Problems with anesthesia (the medication that prevents pain during the procedure)

How do I get ready for hysteroscopy?

  • Tell your health care provider if you have any health problems. These include diabetes, heart disease, or bleeding problems.

  • Tell your health care provider about all the medicines you take. This includes any over-the-counter medications, herbs, or supplements.

  • You may be told not to use vaginal creams or medication. And you may be told not to have sex or douche.

  • You may be told not to eat or drink the night before the procedure.

  • You may be tested for pregnancy and infection.

  • You may be asked to sign a consent form.

  • You may be given a pain reliever to take an hour before the procedure. This helps relieve cramping that may occur.

What happens during a hysteroscopy?

  • You’ll lie on an exam table with your feet in stirrups.

  • You may be given general anesthesia or medicines to help you relax or sleep. In some cases, an IV line will be put into a vein in your arm or hand. This line is then used to give fluids and medicines.

  • A tool called a speculum is inserted into the vagina to hold it open. A tool called a dilator may be used to widen the cervix.

  • Numbing medicine may be applied to the cervix.

  • The hysteroscope (a long, thin lighted tube) is inserted through the vagina and into the uterus. It is used to see inside the uterus. Images of the uterus are viewed on a monitor.

  • A gas or fluid may be injected into the uterus to expand it.

  • Other tools may be put through the hysteroscope. These are used to take tissue samples, remove growths, or place implants for the purpose of sterilization.

What happens after hysteroscopy?

  • You may have cramps and bleeding for 24 hours after the procedure. This is normal. Use pads instead of tampons.

  • Do not douche or use tampons until your health care provider says it’s OK.

  • Do not use any vaginal medicines until you are told it’s OK.

  • Ask your health care provider when it’s OK to have sex again.

When should I call my health care provider?

Call your health care provider if you have:

  • Heavy bleeding (more than 1 pad an hour for 2 or more hours)

  • A fever over 100.4°F (38.0°C)

  • Increasing abdominal pain or tenderness

  • Foul-smelling discharge

Follow-up care

Schedule a follow-up visit with your health care provider. Based on the results of your test, you may need more treatment. Be sure to follow instructions and keep your appointments.



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