fertility treatments

What is Hysteroscopy?

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Hysteroscopy is a procedure in which the doctor looks for changes occurring inside the uterus of a female via a viewing scope called hysteroscope. This helps in proper diagnosis as well as treatment of anatomical abnormalities in the reproductive system of the female. If you have severe cramping and abnormal bleeding, you might be recommended hysteroscopy.

Let’s Discuss in More Details About Hysteroscopy:

Hysteroscopy is a medical procedure that allows the doctor to check the status of the uterus and cervix. This helps the doctor to diagnose any kind of anatomical abnormality. A thin tube-like device with light at the end known as the hysteroscope is utilized for carrying out the procedure in a smooth manner. Hysteroscopy can be diagnostic as well as an operative. In this extensive article, you will get to know the different aspects of hysteroscopy which will help you in successful progression with the procedure.

Hysteroscopy is also suggested for the patients suffering from abnormal bleeding and severe cramping. Sometimes, irregular bleeding and severe cramping can be due to an underlying issue in the uterus such as adhesions, endometriosis, cysts etc. These issues can also cause infertility and problems in conceiving. In such cases, your doctor may ask you to undergo the hysteroscopy diagnosis as well as surgery to correct the issue which may also improve your fertility. Hysteroscopy is done by a gynecologist or general surgeon.

When do I need a Hysteroscopy procedure?

Hysteroscopy has usually required in case the following conditions arise:

1- Excessive bleeding even after a woman has reached menopause. This is quite hazardous to the health of the woman and therefore it requires proper diagnosis and timely treatment.

Hysteroscopy procedure

2- Hysteroscopy is also required when there are symptoms of fibroids, polyps as well as scarring of the uterus.

3- There are several women who undergo permanent sterilization procedures. Once the process of sterilization is complete, hysteroscopy is done to ensure that the process of sterilization is successful as well as there are not any internal reproductive issues.

4- Hysteroscopy is also done in women who have got an Intra Uterine Device placed into the uterus. With the help of hysteroscopy, the doctor will be able to ensure that the IUD is in place and functioning well.

5- In case of biopsy of the reproductive organs, it is essential to take samples from the uterine lining for which hysteroscopy is brought to use.

6- Hysteroscopy is also carried out in cases of the women who had one or more miscarriages.

7- If you are having infertility issues or unexplained fertility then also your doctor can ask you to undergo hysteroscopy surgery.

What is the cost of the hysteroscopy procedure?

The cost of the hysteroscopy procedure is quite affordable in various cities across India. On an average, it costs between Rs. 20,000 to Rs. 50,000. This varies with the experience of the doctor performing it, as well as the location of the clinic or hospital.

What are the steps which take place in the hysteroscopy procedure?

1- Hysteroscopy is done in the surgical centres or hospitals. It is preferred when the emdometrium lining is thin. It is usually done after 6-12 days of menstrual cycle.

hysteroscopy procedure

2- The procedure of hysteroscopy involves certain specific steps which are needed to be performed in the right manner.

3- Before starting the procedure anesthesia or medication is given to the patient so that she does not experience pain throughout the process.

3- Prior to inserting the hysteroscope into the uterus, the cervix is dilated to ensure smooth passage for the hysteroscope into the uterus.

4- a Speculum is a tool which is used to keep the vagina open. It is used to ensure that there is easy access in the cervical area.

5- After this, the hysteroscope is inserted through the vagina, into the cervix and then into the uterus. This helps to have a clear view and access to the reproductive parts which are to be analyzed.

6- Usually carbon dioxide gas or liquid solution is passed into the uterus through the hysteroscope. Carbon dioxide helps in widening the uterus to an appreciable extent which thereby eases the visuality of the respective areas. At times, a biocompatible liquid is also used which serves the same purpose in the procedure.

7- The camera and light at the end portion of the tube help in the proper vision of the reproductive parts of the woman. This makes the doctor perform the required procedure in an improved manner.

8- If the doctor is performing diagnostic hysteroscopy and finds some abnormality, then he should perform operative hysteroscopy to correct any issues in the reproductive system.

You need to know that if required you doctor will also introduce other devices like scissors, graspers, or biopsy instruments to cut or shave off tissue from the reproductive parts of the woman at the time of the procedure. This will be done with the help of a hysteroscope tube.

What happens after the procedure?

  • It is normal to experience light vaginal bleeding and some cramping following the procedure. In most cases, a woman may return to normal activities almost immediately.

  • You need to ensure that you take a sufficient amount of rest right after the completion of the procedure. If the procedure was done with the assistance of general anesthesia, then you will be advised to stay in the hospital itself.

taking rest after hysteroscopy

  • You can face some kind of difficulty in your stomach, especially gastric problems. But you need not to worry as this discomfort will resolve itself within a few weeks time period. If the required medications will be prescribed for the gastric problems as well as for pain, right after the completion of the procedure.
  • You will be discharged from the hospital either on the same day or the next day following the treatment. While going back home, it is highly recommended that you adopt a proper lifestyle and ask you're concerned doctor for some advice to follow at home.
  • It is usually advised not to have intercourse for at least 3 days after the procedure.
  • Based on the results of the hysteroscopy, your doctors can also advise you for further treatment. This will help you to get your reproductive system problems treated before its too late.

How to get prepared for the hysteroscopy procedure?

  • Before the commencement of the hysteroscopy procedure, you need to consult with your doctor and ensure that you are taking the right precautions for the recommended duration for a successful hysteroscopy procedure.

  • If your doctor has advised for general anesthesia assisted procedure, then you need to stop consumption of food at least a few hours before starting the procedure. If your doctor has informed that your case does not require general anesthesia, then you can consume food based on the advice of the doctor.

  • If required, your doctor can also prescribe you some antibiotics, thus helping the body in healing internally. This will also ensure that you do not face any kind of issues during, or after the successful completion of the procedure.

What are the risks associated with the hysteroscopy procedure?

Like every other medical procedure, hysteroscopy also has certain risks, which are pre-informed to the patients to encourage transparency between them and the doctor. This also ensures that the patients do not face any kind of negative surprises after the completion of a procedure.

  • Certain individuals can face problems from general anesthesia injected at the time of the procedure. Therefore, doctors recommend general anesthesia only when the case requires.

  • Infection is one of the common risks which patients undergoing hysteroscopy usually face. This can be prevented with proper precautions. Therefore, it is recommended that you get the procedure done at a standard hospital.
  • Pelvic Inflammatory disease can also occur in the patients. This occurs quite rarely in recent times. But still, there are chances of this disease occurring in the patients.
  • The nearby organs can also be damaged at the time of hysteroscopy. These include bladder, ovaries or bowel. Therefore, proper care is taken to avoid these complications to a maximum extent.

If you face any of these complications, then you should consult your doctor as soon as possible.

Thus, hysteroscopy is a useful procedure which helps in detecting any medical problems related to the anatomy of a uterus. This plays a crucial role in preventing the progression of any reproductive part disease or negative changes in the long run. If your doctor suggests you to undergo the procedure, then you should get it done as soon as possible without any delay.

Dr. Devika Chopra

About The Author

Infertility Specialist, Infertility Evaluation / Treatment Dr. Devika Chopra
Mumbai

Dr. Devika Chopra is a leading Obstetrician, Gynaecologist and IVF Expert in Tardeo, Mumbai. She provides services such as Intrauterine Insemination (IUI), Gynae Problems, Maternal Care/ Checkup and Infertility Evaluation/Treatment. Dr. Devika Chopra practices at Hope Clinic in Forjett Street, Mumbai. She holds an experience of almost a decade. She completed MBBS from Grant Medical College, Mumbai in 2002. Thereafter, she pursued DNB in Obstetrics and Gynaecology from NBE in 2009. She continued her studies further and did MSc from Oxford University, U.K. in 2012. For Contact details of Dr. Devika Chopra visit at elawoman.com

5 Comments

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Jeevan Singh

It was an informative article as I never knew about this problem and its treatment. Many thanks for the knowledge!

Oct. 12, 2018, 12:04 p.m. 5.0

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Shivangi Chaudhary

I had light vaginal bleeding after the hysteroscopy treatment but now it is the same as before. What should I do now?

Oct. 2, 2018, 5:58 p.m. 4.5

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Nirupa Diwakar

I have hysteroscopy with unbearable pain. I could make my mind now to have this treatment after reading about it. Thanks for sharing!

July 13, 2018, 10:53 a.m. 5.0

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Prajakta Shukre

When I was prescribed hysteroscopy I didn't knew what to expect, such articles are really helpful in making people aware of procedures like hysteroscopy and prepare them mentally for it. Nice read.

June 5, 2018, 10:54 a.m. 5.0

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Sandhya A Dhavale

Thanks for sharing such an informative blog on hysteroscopy procedure. This blog helped us clarify our concepts of hysteroscopy without wasting lot of time.

May 29, 2018, 7:42 p.m. 4.5

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