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Everything You Need To Know About Hysteroscopy – Let’s Take A Look Inside Your Womb

Around a third of women in the reproductive age suffer from abnormal vaginal bleeding due to uterine reasons. Instead of treating these problems, they are ignored until they become serious health complications. At MEDSTAR we provide hysteroscopy for diagnosing and if needed, treating uterine problems.

What is hysteroscopy?

  • Hysteroscopy is a gynaecology procedure used for the diagnosis and treatment of uterus problems.
  • In this procedure, a long thin telescope fitted with a camera and light called a hysteroscope is used to look inside the uterus. Hysteroscope is connected to the monitor and helps the doctor to see the inside of the uterus on the monitor. 
  • When hysteroscopy is used for the diagnosis of the problems of the uterus it is called diagnostic hysteroscopy and when used for treating uterus problems it is called operative hysteroscopy.

Why is hysteroscopy used?

Hysteroscopy is used for:

  • Investigating the cause of severe abdominal cramps and heavy bleeding during periods or after menopause or abnormal vaginal bleeding
  • Diagnosis of the precancerous lesions like fibroids and polyps in the uterus
  • Collecting tissue samples for the biopsy
  • Treatment of polyps, uterine adhesions or displaced intrauterine devices
  • Diagnosing the cause of abnormal Pap test results
  • Investigating the cause of infertility

Hysteroscopy is also used with other procedures like laparoscopy and dilation & curettage for detailed examination of the uterus.

Are You Eligible for hysteroscopy?

  • Female patients suffering from abnormal and heavy vaginal bleeding with or without abdominal cramps can opt for a hysteroscopy procedure.
  • This procedure is contraindicated in pregnant women.
  • The Doctor will determine the diagnostic or operative use of the hysteroscopy according to the symptoms of the patient. 
  • Visit our gynaecology clinic for complete gynaecology diagnostic and treatment procedures for safe and effective results.

Why choose MEDSTAR for Hysteroscopy? The MEDSTAR Advantage

We care, support and aim for healthy results to improve the life of our female patients. We at MEDSTAR provide all gynaecology diagnostic and treatment procedures under one roof in Dubai. We are well known for achieving safe and effective results with the help of an experienced clinical team and updated infrastructure.

How is hysteroscopy performed?

  • Hysteroscopy is an outpatient  and day-care procedure and patients can go home the same day.
  • In this procedure, the patient is laid down on the gynaecology examination table with feet on stirrups and a speculum is used to hold and widen the vagina. Then a hysteroscope is gently inserted through the vagina to examine and treat disorders of the uterus and cervix. During the procedure clear saline or gas is used to widen the uterus and fallopian tubes for better visibility.
  • This procedure might be performed under local or general anaesthesia as per the convenience of the patient and is completed in 30 minutes or less.

What are the various options for hysteroscopy at MEDSTAR?

Diagnostic hysteroscopy

When hysteroscopy is used for the examination of the uterus then it is known as diagnostic hysteroscopy. It is used for diagnosing the following symptoms in females:

  • Severe abdominal pain
  • Abnormal vaginal bleeding 
  • Heavy bleeding during periods
  • Postmenopause bleeding
  • Diagnosis of precancerous lesions like fibroid and polyps in the uterus
  • Diagnosis of uterine lesionsafter abnormal Pap test results
  • Investigating the cause of infertility
  • Collection of a tissue sample for biopsy from the uterine cavity

Operative hysteroscopy

When hysteroscopy is used for treating the conditions of the uterus then it is known as operative hysteroscopy. It is used for:

  • Removal of polyps and fibroids
  • Treatment of uterine adhesions 
  • Removal or normal positioning of displaced intrauterine device
  • Placement of small contraception devices into the fallopian tubes 
  • Removal of endometrial lining or abnormal tissue growths

Hysteroscopy with other gynaecological procedures

Hysteroscopy is also performed with other gynaecological procedures like dilation and curettage or laparoscopy. Combining hysteroscopy with such procedures helps in detailed visibility resulting in better diagnosis of the lining of the uterus and treatment.

  • Pre hysteroscopy instructions:
    • Follow the diet instructions as given by the doctor
    • Avoid douching or using tampons
    • The patient is advised to arrange for someone to take her back home
  • Post hysteroscopy instructions:
    • The patient is advised to use pads for vaginal bleeding for 2-4 days.
    • Avoid sexual intercourse for the next 2 weeks
    • The patient will feel bloated or have abdominal pain for 1or 2 days due to gas used in the procedure.
    • Take prescribed medications for pain and to prevent infections.
    • The patient can resume her daily life routine after 2 days but is advised to avoid strenuous activities for the next 7-10 days.
    • Do not miss the follow-up appointment.
  • Contact the doctor immediately in case of fever, heavy bleeding, severe pain or any other concerns.

The patient will suffer from mild cramping and vaginal bleeding for the next couple of days, which is normal after hysteroscopy and is advised to use pads for bleeding and prescribed medications for pain. The patient can resume daily routine activities after 2 days. There might be bloating and abdominal pain due to gas used in a procedure that is normal and subsides in 1 or 2 days. Improvements in the symptoms of vaginal bleeding or severe cramps will be completely noticeable after full recovery of the uterus.

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.

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