The procedure - What happens to you
A hysteroscopy involves inserting a small telescope into the uterus to examine its internal aspect (endometrium). The procedure is performed by first inserting a speculum into the vagina, the cervix is visualized and then the hysteroscope is rested against its opening. Carbon Dioxide gas or salty fluid (saline) is squirted through the instrument into the canal of the cervix to open it so that the scope may pass easily into the uterine cavity and allow a clear view. Gentle pressure is then applied to then insert the hysteroscope into the uterus. The view obtained allows diagnosis of many abnormalities that can lead to infertility and also other gynaecological symptoms such as irregular menstruation, bleeding between periods, bleeding after intercourse and pelvic pain.
What you have to do
The procedure when carried out for infertility is often performed at the same time as laparoscopy under the same general anaesthetic. Admission to hospital for day surgery is therefore necessary.
Benefits & Advantages
Hysteroscopy enables a clear view to be obtained of the inside of the uterus.
Hysteroscopy can be used to diagnose (and sometimes treat:-
- uterine polyps
- fibroids
- structural abnormalities of the uterus
- obstruction of the opening of the fallopian tubes
Side effects & Complications
Complications of hysteroscopy are uncommon. However, they do occur even in experienced hands. They include: uterine bleeding which is usually mild and subsides quickly. Uterine cramping or period type pain, which may last a day or two. Occasionally your next period may be both heavy and painful. Perforation of the uterus can occur although no special treatment is usually necessary. Gas or liquid can enter the blood which can be serious but is extremely rare.