The common situations when one would need a hysteroscopy are :
- Heavy and/or prolonged menstrual periods
- Very painful periods
- Bleeding after menopause
- Frequent miscarriages
- Difficulty in getting pregnant (infertility)
Hysteroscopy may be done in the outpatient but that needs a very special instrument. By and large it is done in the hospital as a day care procedure under an anesthetic. Some basic blood tests may be required for this purpose. You need
to come fasting on the day of the procedure. Once under the anesthetic, the neck of the uterus is gently dilated so that the hysteroscope can be inserted inside. Then a fluid (usually saline for diagnostic procedures and glycine for operative
procedures) is used to distend the cavity so that we can see inside.
A good look inside allows us to see :
- Shape of the cavity,
- Presence of a septum that divides the cavity.
- Presence of fibroid or polyp,
- Presence of adhesions,
- Thickened abnormal lining
- Lost intra-uterine device can be located
In case the procedure is done for treatment then following procedures are conducted :
- Removal of fibroid/polyp
- Removal of lost intrauterine device
- Cutting of adhesions
- Cutting of septum
- In cases of heavy prolonged periods to destroy the lining using an electric current
After the procedure the recovery is usually quick, and and one can leave the hospital on the same day. One can return to work on the next day. Only in certain situations one would need rest for few days. The follow up would depend on the
situation.The procedure is very safe but there are risks as with all surgical procedures. It may be related to the anesthesia or to the procedure itself.
Dr. Sangeeta offers hysteroscopic surgery in hospitals with state of the art facilities.