Understanding Hysteroscopy

Hysteroscopy is a simple and safe procedure that allows your doctor to look inside your uterus (womb) to check for any problems. It’s a valuable tool for diagnosing and treating various conditions that can affect your reproductive health. 

What is Hysteroscopy?

Hysteroscopy involves using a thin, pen-like tube called a hysteroscope, which has a tiny camera and light at the end. This tube is gently inserted through the vagina and cervix (the opening to the uterus) into the uterus itself. The camera sends pictures to a screen, allowing your doctor to see the inside of your uterus.

There are two main types of hysteroscopy:

1. Diagnostic Hysteroscopy: This is used to find out what might be causing symptoms like unusual bleeding, difficulty getting pregnant, or repeated miscarriages.

2. Operative Hysteroscopy: If a pathology, like a polyp or fibroid is found, your doctor can treat it right away in the same sitting.

When is Hysteroscopy Recommended?

- Abnormal Uterine Bleeding: Heavy, irregular, or postmenopausal bleeding

- Infertility or Repeated Miscarriages

- Suspected Fibroids or Polyps

- Removing Scar Tissue

- Diagnosing Congenital Abnormalities: Some women are born with a uterus that has an unusual shape, which can affect pregnancy

How is Hysteroscopy Done?

The procedure is usually done in a hospital. Here’s what you can expect:

- You will lie down on your back with your legs supported, similar to when you have a pelvic exam.

- Your doctor may use a local anesthetic (numbing medicine) to make you more comfortable. Sometimes, general anesthesia is used.

- The hysteroscope is gently inserted into your vagina, through your cervix, and into your uterus.

- A small amount of fluid or gas is used to expand your uterus slightly, giving your doctor a clear view.

- The procedure usually takes about 5 to 30 minutes.

What are the Benefits of Hysteroscopy?

1. Minimally Invasive: There are no cuts or incisions. The procedure is done through the natural opening of the cervix.

2. Quick and Accurate Diagnosis

3. Treatments Can Be Done During the Same Procedure

4. Short Recovery Time: Most people can go home the same day and return to their normal activities within a day or two.

5. Low Risk of Complications: The risk of infection, bleeding, or other complications is very low compared to more invasive surgeries.

6. Helps with Fertility: By treating conditions that affect the uterus, hysteroscopy can improve your chances of getting pregnant if you’ve been struggling with infertility.

7. Avoids Major Surgery: In many cases, hysteroscopy can treat problems that might otherwise require a more invasive surgery, like a hysterectomy (removal of the uterus).

What to Expect After Hysteroscopy?

After the procedure, you may have some mild cramping or spotting, but this usually goes away in a day or two. Most people feel well enough to return to their normal activities quickly. Your doctor will discuss the results with you and recommend any further treatment if needed.

Hysteroscopy is a safe and effective way to diagnose and treat problems inside the uterus. It offers many benefits, including a quick recovery and the ability to treat issues immediately. If your doctor has recommended a hysteroscopy, it’s a step toward better understanding your health and finding the right treatment for you.

Always feel free to ask your gynaecologist any questions you may have. Understanding the procedure can help you feel more comfortable and confident in your care.