Hysteroscopy

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Hysteroscopy is a medical procedure performed to examine the insides of your uterus using a tool called a hysteroscope. Hysteroscope resembles a small-sized telescope.

Hysteroscopy is performed to both diagnose and treat causes of abnormal bleeding in your uterus – for example, heavy bleeding and bleeding after menopause.

In addition to identifying the cause of bleeding, hysteroscopy can also show if you have abnormal uterus shapes, abnormal tissue growth (polyps), non-cancerous growth of uterine muscle tissue (fibroids), or endometrial cancer.

Purposes of Hysteroscopy

The following are some health complications that may require hysteroscopy:

  • Severe pelvic pain
  • Vaginal bleeding
  • Congenital uterine anomalies 
  • Multiple miscarriages.
  • Intrauterine contraceptive device (IUD) or spiral contraceptive that may have shifted.
  • Non-cancerous growth of uterine fibroids which usually causes pain and bleeding. 
  • Uterine prolapse
  • Uterine cancer, ovarian cancer, or  cervical cancer
  • Growth of tissue in the uterus where it does not belong (endometriosis).

Cost Estimation for Hysteroscopy

The cost for hysteroscopy varies – depending on which hospital is selected and whether the hysteroscopy is performed only for examination or requires additional procedures afterwards.

For more details on the cost estimation for hysteroscopy, hospital recommendations, or making appointments with doctors, contact Smarter Health.

Pre-Hysteroscopy

Before hysteroscopy, you will need to consult with your doctor to determine the right anaesthetic for you. If you choose general anaesthetic that will make you lose consciousness completely during the hysteroscopy, you will be asked to fast for approximately 6 hours before the hysteroscopy.

Consult with your doctor regarding medicines you are currently taking and your doctor will inform you if there are certain medicines that you should stop consuming before the hysteroscopy. Certain medicines should be avoided as they will interfere with the blood clotting process – medicines such as aspirin, ibuprofen, clopidogrel, and warfarin. You should also inform the doctor about your allergies and other health conditions that your doctor needs to know about.

During Hysteroscopy

Hysteroscopy will begin by giving you anaesthetic. Generally, local anaesthetic is given to keep you awake during the hysteroscopy. The hysteroscopy procedure is usually quick – less than 10 minutes. You will lie on a couch with your legs held in supports. 

Then your vagina will be cleaned with an antiseptic solution and your doctor will insert an instrument called a speculum into your vagina to hold it open. Your doctor will insert a hysteroscope through the vagina.

The hysteroscope is a flexible tube that can pass through the cervix and then into the uterus. Your doctor will pump carbon dioxide gas or a special fluid into the womb to make it easier to see inside. 

If polyps or fibroids are found, your doctor may use other medical tools to remove them.

Post-Hysteroscopy

After the procedure is complete and the hysteroscope has been removed from your body, your doctor will analyze the results, make a diagnosis, and decide whether you should have immediate treatment based on the diagnosis results.

Hysteroscopy does not require a long recovery time. Usually, you should be able to go home soon on the day of the procedure or the day after. You may also return to normal activities. However, you might experience some mild cramping and bleeding in the mild stages. This is normal.

Risks of Hysteroscopy

As with any other medical procedures, hysteroscopy also has its own risks –  although if done properly, the risks are less likely. However, some of the complications that may arise include:

  • Allergic reaction to anaesthetic
  • Bleeding.
  • Blood clots.
  • Uterus infection
  • Cervical infection
  • Uterine perforation
  • Intrauterine adhesions (scar tissue develops in the uterus)
  • Fluid deficit during hysteroscopy 

To minimize the risk of complications, it is recommended that you adhere to your doctor’s instructions before deciding to undergo hysteroscopy. 

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