Hysteroscopy is a test performed in gynecology that provides diagnosis and therapeutic facilities. Many women in their fertile years are familiar with or have already gone through this procedure for different reasons.
The most frequent medical indications for which gynecologists perform this test are the study of the inside of the uterine cavity, in case that anomalies in the shape of the uterus are suspected, such as the presence of septa, partitions, adhesions. Hysteroscopy also serves to diagnose these anomalies and take them out if needed.
Hysteroscopy is also used to take endometrial biopsies, in the case of suspicion of endometrial cancer, the extraction of endometrial polyps, and the resection of submucosal myomas.
Also, it is good for taking biopsies as part of a repeat abortion study. Another use of hysteroscopy is the removal of IUDs that cannot be taken out in regular consultation because they have migrated inside the uterine cavity.
How is the procedure?
The hysteroscope,the instrument used in hysteroscopy, is made up of a 3 – 5mm optic that goes through the vagina, to access the endocervical canal.
Generally, hysteroscopies are performed in the hospital or clinic, and under anesthetic sedation. It is a somewhat sensitive technique due to manipulation, and the distension of the uterine cavity with serum produces enough dysmenorrhea.
Because the uterine cavity is virtual and in normal conditions, both walls collapse, we perform this expansion with physiological saline or with an electroneutral substance called glycine, which is compatible with the use of an electric scalpel.
Through the stem, which also contains the camera, we can introduce the tweezers that will help the doctor remove the polyp, take biopsies, or whatever it is needed. The doctor watches the whole procedure through a screen next to the patient, and can take photos and videos in real time.
Are there any side effects from Hysteroscopy?
The recovery of the hysteroscopy is excellent and fast. The patient is usually discharged in a few hours. If you were sedated with general anesthesia, they would wait until the effects are over.
It is normal to have menstrual pain up to two days after the procedure, or even have insufficient vaginal bleeding. Let the doctor know so they can prescribe you pain meds.
The next day you can probably get back to work and your regular life without any problem. But, if you experience fever, chills or unusual bleeding, call the doctor as soon as possible.
Even when hysteroscopy is usually a safe operation, the uterus and cervix may get punctured unintentionally, so the patient may bleed or have an excess of fluid in their system.