Hysteroscopy is a minimally invasive procedure to view the cavity of the uterus. This is accomplished by using a fiber-optic camera passed through the cervix. Diagnostic hysteroscopy is used to view the cavity and assist in diagnosing a problem. It is useful in the evaluation of abnormal pre- and post-menopausal bleeding in conjunction with a D&C, examining a uterine mass, diagnosing a uterine malformation, and in an infertility evaluation. Operative hysteroscopy is when a problem is addressed such as removing a polyp or fibroid, treatment of abnormal bleeding with endometrial ablation, tubal ligation, correcting anatomical malformations or removing intrauterine scar tissue.
THE PROCEDURE
Your doctor will dilate your cervix with specialized instruments followed by introducing the fiber-optic camera into the uterus through your cervix. Fluid is used to expand the cavity of the uterus to better visualize the anatomy. You will be under general anesthesia. Following surgery, you will go to the recovery room for a short amount of time. Once you have recovered, you will be given discharge instructions and go home. If your procedure requires an overnight stay, you will be transferred to your room.
General risks of hysteroscopy include damage to surrounding structures, pain or cramping, bleeding which may or may not require transfusion, blood clot formation and uterine perforation which may necessitate having perform additional surgery to address any complication. We take every measure to minimize these surgical risks.
POSTOPERATIVE EXPECTATIONS
Some things to expect postoperatively are:
- Uterine cramping
- Vaginal spotting
- Menstrual irregularity
- Abdominal swelling
WHEN TO CALL
We are available 24 hours a day, 7 days a week to address your concerns. You should contact us for any of the following concerns:
- Severe pain
- Fever of 101 or greater
- Vaginal bleeding soaking more than 1 sanitary pad in two hours
- Persistent nausea and/or vomiting for more than 24 hours post operatively
