The gynecologic procedure that helps in the diagnosis and treatment of problems in the uterus is known as hysteroscopy. Like endoscopy, hysteroscopy also uses a thin tube of a telescope fitted with a camera and light at one end, to probe into the uterus and to transmit back clear images, which can be viewed by the gynecologist on a monitor.
Hysteroscopy can be used to diagnose precancerous lesions, polyps, cause of infertility, collect tissue samples, menopausal issues, vaginal bleeding, and for PAP tests. In this procedure, the patient is laid down on a table with raised feet, allowing the gynecologist access to the vagina. The hysteroscope is inserted in the vagina and the images inside can be seen on the monitor. The procedure is helpful in precise diagnoses and various surgical interventions too.
Dr. Rajul Matkar
Specialist - Obstetrics & Gynecology
What are the types of hysteroscopy?
On the basis of the use of hysteroscopy, it can be divided into diagnostic hysteroscopy and operative hysteroscopy.
- Diagnostic hysteroscopy is used for diagnosing and examining the abnormal symptoms of vaginal bleeding, precancerous lesions, abnormal Pap tests and severe abdominal cramps.
- Operative hysteroscopy is used for the surgical removal of fibroids, polyps, precancerous lesions and lining of the uterus.
Can hysteroscopy help with abnormal vaginal bleeding?
Yes, hysteroscopy can help with abnormal vaginal bleeding by diagnosis and examining the uterus. It helps in finding out the cause of the bleeding like fibroids or polyps, precancerous lesions in the uterus and abnormal growth on the walls of the uterus. It is also used for the treatment of abnormal vaginal bleeding by removing the abnormal tissue from the uterus.
What are the risks of hysteroscopy?
Hysteroscopy is a safe procedure but there are potential risks associated with it like:
- Damage to the uterus and cervix
- Excessive bleeding and pain after the procedure
- Infection of the uterus
- Dizziness after the procedure
The doctor will determine and discuss the benefits and risks during the consultation and will perform the hysteroscopy if the benefits outweigh the risks for the patient.
Is hysteroscopy helpful in treating female infertility?
Yes, sometimes hysteroscopy is used for treating female infertility in cases of uterus adhesions. Adhesions are defined as the formation of scar tissue in the uterus resulting in the sticking of the walls of the uterus together. This leads to narrowing of the uterine cavity and causes recurrent pregnancy loss and infertility in females. Hysteroscopy is used to remove scar tissue to open up the uterus cavity and cervix.
What is the recovery time of hysteroscopy?
Uterus heals completely in 7-10 days and patients can resume exercise, driving or other strenuous activities. The patient is advised to avoid tampons and sexual intercourse during the healing period to prevent infections and promote healthy healing. Also, it is recommended to take prescribed medications for the prevention of infection of the uterus during healing.
Is hysteroscopy painful?
Hysteroscopy procedure is performed under local or general anaesthesia as per the comfort of the patient. The patient will feel mild cramping pain and vaginal bleeding for a couple of days after the procedure. These symptoms are normal after a hysteroscopy procedure and subside on their own. Pain medicine is prescribed by the doctor to get relief from pain and cramps.