Hysteroscopy is a minimally invasive procedure performed to access uterine cavity for the diagnosis and treatment of intrauterine diseases. It helps in examining the inside of the cervix and the uterus using a hysteroscope, a thin tube containing light and camera.
What are the Advantages of Hysteroscopy?
- Less pain
- Quick recovery
- Shorter hospital stay
What are the Indications for Hysteroscopy?
Common indications for hysteroscopy include:
- Abnormal Pap test results
- Abnormal uterine bleeding
- Postmenopausal bleeding
- Uterine polyps or fibroids
- Biopsy (to obtain a tissue sample)
- Mullerian congenital anomaly (malformation of the uterus or vagina)
Hysteroscopy is contraindicated in some cases such as pelvic infection, pregnancy, and cervical or endometrial cancer. Hence, thorough evaluation by a gynecologist is required before the hysteroscopy.
What Happens During the Procedure?
Hysteroscopy is performed by keeping the patient under anesthesia. The hysteroscope is inserted through your vagina and normal saline is then sent through the hysteroscope. Saline solution helps to expand the uterus and clear away any blood or mucus. Then the doctor examines the uterus and the openings of the fallopian tubes. This entire procedure may take around 10 to 15 minutes.
The length of the procedure usually depends on whether the procedure is diagnostic, operative, or an additional procedure, such as laparoscopy, is required along with hysteroscopy. In general, diagnostic hysteroscopy takes less time than operative.
What are the Procedures Done via Hysteroscopy?
- Visualized & Directed Biopsy
- Myomectomy (removal of fibroids)
- Polypectomy (removal of polyps)
- Retrieval of lost IUD (intrauterine devices)
1. Is hysteroscopy painful?
You may experience mild pain and cramps after the procedure. If the pain is severe, the doctor may prescribe pain killers for management.
2. Is hysteroscopy necessary for IVF?
Hysteroscopy before in vitro fertilization (IVF) helps in examining the condition of uterus. It helps to check if the uterus is healthy and ready to carry a baby.