Hysteroscopy (Womb Examination)

What is hysteroscopy?

This is used to diagnose or treat problems in the uterine cavity. A thin telescope with a light attached to a camera is inserted through your vagina into your uterus. It transmits the image of the uterine cavity onto a screen. Other instruments are used along with the hysteroscope for treatment.

What is hysteroscopy used for?

It is used to find the cause of abnormal uterine bleeding that occurs less often or more often than normal.

Hysteroscopy also is used in the following situations, remove adhesions (scar tissue) that may occur because of infection or from past surgery. Diagnose the cause of repeated miscarriage when a woman has more than two miscarriages in a row. Locate an intrauterine device. To remove polyps and used as part of infertility tests.

How is hysteroscopy performed?

Before the procedure, you may be given a medication to help you relax, or general or local anaesthesia may be used to block the pain. If general anaesthesia is given women will not be awake during the procedure. Hysteroscopy will be done at the hospital which can be an outpatient procedure. It will be scheduled when not having a menstrual period. To make the procedure easier the doctor will dilate (open) the cervix before hysteroscopy. A medication will be inserted into the cervix, or special dilators may be used. A speculum is first inserted into the vagina. The hysteroscope is then inserted and gently moved through the cervix into the uterus. A fluid, such as saline (salt water), will be put through the hysteroscope into the uterus to expand it. If a biopsy or other procedure is done, small instruments will be passed through the hysteroscope.

What should I expect during recovery?

You should be able to go home shortly after the procedure. If you had general anaesthesia, you may need to wait until its effects have worn off. It is normal to have some mild cramping or a little bloody discharge for a few days after the procedure. You may be given medication to help ease the pain.



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