Hysteroscopy: Precision Care, Empowering Women's Health

Hysteroscopy

Hysteroscopy is a minimally invasive test that allows for visualization of the inside of the uterus (womb). It is done with a long, thin instrument called a hysteroscope, which has a high-definition camera to give good pictures of the uterine cavity. Hysteroscopy can be used both for diagnosis and treatment, helping to find and fix uterine problems.

Indications for Hysteroscopy

• A gynecologist might suggest hysteroscopy for several medical purposes, including:
  • To investigate abnormal bleeding from the uterus, for example, heavy menstrual or postmenopausal bleeding.
  • To find and, if needed, remove polyps (tiny tissue growths in the lining of the uterus) or some forms of fibroids (benign muscular growths in the uterus).
  • To assess uterine abnormalities in women suffering from infertility or recurrent miscarriage.
• Treating intrauterine adhesions (scar tissue in the lining of the uterus).
• Removing an intrauterine system (IUS) or contraceptive coil that has moved out of its original position.
• Having a permanent contraceptive procedure (sterilization).

Diagnostic Hysteroscopy

In a diagnostic hysteroscopy, a maximum-diameter 5-mm hysteroscope is inserted gently into the uterus. The built-in high-resolution telescope allows the physician to visually examine the uterine cavity for any abnormalities. The procedure may be done on an outpatient basis and does not involve an overnight hospital stay.

Preparation for a Hysteroscopy

• Patients will have certain pre-procedure instructions provided by their doctor. Important preparation steps include:
• Making sure that there is no chance of being pregnant during the procedure if menstruation is still in progress.
• Performing the procedure even when having vaginal bleeding, as in most instances, hysteroscopy can continue without any problems.
• If a general anesthesia is needed, fasting is essential for about six hours prior to the procedure.
• Patients must stick very closely to their gynecologist's food and fluid advice.

Procedure Summary

Hysteroscopy is common for diagnosis and treatment of issues like infertility, unexplained pain in the uterus, and irregular bleeding. It also helps further investigate ultrasound scan or other medical test findings.

Potential Complications

Although hysteroscopy is normally a low-risk and safe procedure, complications, although uncommon, can be:

• Trauma or, less commonly, perforation of the uterine wall.
• Infection or inflammation, although these are extremely rare.
• In rare instances, absorption of the irrigation fluid into the bloodstream, which can lead to cardiovascular complications necessitating medical treatment.

In spite of such possible dangers, hysteroscopy is a useful means for the diagnosis and treatment of uterine disease with minimal invasiveness and a fairly rapid recovery.

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