> Hysteroscopy: what is, how to do it, complications and alternatives

Cos’è hysteroscopy

hysteroscopy is a procedure used to examine the inside of the uterus. Può be used both to diagnose and to treat a condition of gynaecological. You canò to practice a hysteroscopy to:


  • help you discover what is causing your symptoms, for example, if you have menses very abundant;
  • search for conditions such as polyps (small growths benign tissue on the lining of the uterus), or some types of fibroids (growths, benign, in the uterus);
  • the

  • see if there are any problems inside of your uterus;
  • the

  • if you have problems becoming pregnant or have you had scrapings;
  • the

  • treat scar tissue (adhesions) of the lining of the uterus (the endometrium);
  • enter a spiral medicated (IUS), or a spiral to the copper, or pull out a spiral that is way out of place;
  • the

  • perform a form of permanent contraception (sterilization)

Alternatives to hysteroscopy

depending On your symptoms and circumstances, there may be treatments, and surveys alternative available.

An ultrasound scan può be used to diagnose some gynaecological conditions. An ultrasound uses sound waves to produce an image of the inside of the uterus.

Other types of scan such as MRI or CT scan may sometimes be used.

A biopsy of the endometrial può be an alternative to a hysteroscopy if your doctor needs to take a sample of the tissue of the uterus. A thin tube is passed through the cervix and into the cavità of the uterus, then a gentle suction is used to remove tissue samples that will be examined under the microscope. Sometimes you can receive this treatment in conjunction with a hysteroscopy.

Prepare for a hysteroscopy

your surgeon will explain to youà how to prepare for the procedure.

The hysteroscopy is used for diagnosis is usually done as an outpatient procedure. This means that you do not have to spend the night in the hospital, and you may not need anesthesia. The doctor is able toà suggest you to take a painkiller such as paracetamol half an hour before the appointment.

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alternatively, you can perform the procedure in a day hospital under general anesthesia which means you will sleep during the operation. If you will undergo general anesthesia, there will beà asked to adhere to the fasting. This means do not eat and do not drink usually for about six hours before. In every way it is important to follow the advice you are given.

In the hospital, the nurse willà to do tests on how to take the pressure, do an electrocardiogram, and urine tests.

The doctor discussà with all of you what will happenà before, during and after the procedure and any pain you might have. This is your opportunityà to understand what will happenà and you can help by preparing questions do you have about the risks, benefits and any alternative to the procedure. This will help youà to be informed, so you can give your consent becauseé the procedure takes place, what you willà be requested by signing on a sheet of consent.

What happens during a hysteroscopy?

The procedure used for the diagnosis usually takes 10 to 15 minutes. Può be taken about an hour if you are under general anesthesia.

The doctor will enterà an instrument called a speculum into your vagina to see the cervix (neck of the uterus). He or she cleanà then the vagina with an antiseptic solution and letà pass a hysteroscope into the uterus. The camera at the end of the hysteroscope sends pictures from the inside of the womb to a video screen. The doctor guarderà these images and, if necessary, takeà a sample of tissue (biopsy) or toà a necessary treatment. He or she willà to inject some gas or fluid, which canò make più easy to see the lining of the uterus.

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What to expect after

If you have had a general anaesthetic you will need to rest finché the effects are not passed on. Once you feel ready, you will need to arrange for someone to bring you home and you should try to make sure that a friend or relative to be with you for the first 24 hours.

general anesthesia can; temporarily affect your coordination and capacity of reasoning, then you should not drive, drink alcohol, use mechanical tools or sign legal documents for 24 hours. If you are in doubt about driving, contact your insurer così to be aware of the recommendations, and always follow the advice of the medical personnel.

you May need to wear a sanitary towel since the procedure can; cause a bit of vaginal bleeding. If you need something for the pain, you can take pain relievers-the-counter such as paracetamol or ibuprofen. Always read the patient information provided with the medication and if you have any questions ask the pharmacist.

The nurse willà to give you an appointment for an inspection. If you have had a biopsy or removing a polyp need to pick up the results.

Recovering from a hysteroscopy

If you have undergone a diagnostic hysteroscopy, you will need to rest and take it easy for a day or two. If you have undergone a treatment during hysteroscopy, for example removal of a polyp or a fibroid, your shooting willà need più time. The doctor will recommendà on when you can return to activitiesà usual.

What are the risks?

As with every procedure, there are some risks associated with hysteroscopy. We have not included the possibilityà that you may experience and ask your doctor how these risks apply to you.


Side effects

side-effects are The unwanted but temporary effects you may have after the procedure. For example, you may have cramps that are painful, like the ones that you have during a cycle. You may also have some vaginal bleeding, which usually improves after a few days, but that canò last up to a week.


it is when problems occur during or after the procedure. The majority of women do not suffer. The possible complications of any operation include an unexpected reaction to the anaesthetic, excessive bleeding or developing a blood clot, usually in a vein of the leg (deep vein thrombosis, DVT).

the Specific complications of hysteroscopy are uncommon, although it is possible that you develop an infection later that can; lead to infertilità – but it is rare. The surgery can; cause damage to your uterus, and, rarely, the bladder, intestines and blood vessels. If this happens you may need further surgery to repair any damage caused.

During the procedure, può do not be possible for your surgeon to pass the hysteroscope into your uterus to get a clear view of the lining. If this happens, he or she will discussà with you alternative options. You might instead need a laparoscopy (minimally invasive surgery) or laparotomy (open surgery).

The majority of women have no problems after having a hysteroscopy. the However, if you develop any of the following symptoms, contact your doctor:


  1. Persistent, strong bleeding;
  2. the

  3. vaginal discharge dark or that has a bad odor.
  4. the

  5. severe pain, or pain that lasts for more than 48 hours;
  6. the

  7. high Fever.

Talk with your doctor for more information on complications of hysteroscopy.


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