Hysteroscopy is a diagnostic procedure used to examine the inside of the uterus. It can be even used for treating any irregularities. In this procedure, a tool called a hysteroscope is inserted through your vagina. It identifies any structural irregularities in the cervix and the inside of the uterus. How painful is a hysteroscopy? Is there any risk involved? Will it impact your fertility? All these questions may have crossed your mind after your doctor asked you to do a hysteroscopy. In this article, all your doubts and queries will be answered. It will discuss the procedure, cost, and risk of hysteroscopy.
In this procedure, a hysteroscope, which is a narrow telescope with a light camera at the end, is used. It is inserted through the vagina and cervix. The images of the womb are reflected in the monitor for the doctor to check for any problems.
There are two types of hysteroscopies. One is diagnostic hysteroscopy and the other one is operative hysteroscopy.
Diagnostic hysteroscopy is used to investigate any symptoms or problems of the reproductive area. It is recommended: -
Operative hysteroscopy is commonly used to treat the problem that was found out during the diagnostic hysteroscopy. It is used: -
These are the reasons you might need a hysteroscopy. Before any procedure, especially an invasive one, you need to be prepared. We will discuss certain preparation that you need to do before undergoing the procedure.
Your doctor will first ask you about your medical history. It will include the medication you take or the procedures that you might have undergone. The doctor may ask you to stop taking medications before the procedure that prevents blood clotting.
To ensure that you are in good health for the procedure some blood and diagnostic tests will be suggested. Once it is cleared then you need to give consent for the procedure. You may be asked to fast if you are given local or general anaesthesia.
Further, you are required to inform in case you are pregnant. The surgery will be scheduled after your period and before ovulation. Any other required directions and precautions will be conveyed by your doctor.
Hysteroscopy surgery is generally done on an outpatient basis. It is not a major surgery. Sometimes local anaesthesia that numbs your cervix is used. They will also use medication or tools to dilate your cervix.
You will be first required to change into a hospital gown and empty your bladder before the procedure. Then you will lie down on the examination table with legs stirrups.
The total process of hysteroscopy can be between 5 minutes to 30 minutes or more. The length of the procedure depends on whether it is operative or diagnostic. The latter usually takes less time than the former.
After the hysteroscopy procedure, you will be kept in an observation room. The doctor checks whether the effect of the anaesthesia has worn off before sending you home.
Hysteroscopy recovery happens almost immediately. Most of them return to their normal activities the following day. Even some women start working the same day. If a general anaesthetic is used then it is advised to take rest for at least one to two days.
You can straight away go to your normal diet. They might be some mild cramping or bleeding, like periods. Some pain medications might be given to help ease the pain. It is advised to avoid sex for at least two weeks after the procedure or until the bleeding has stopped. This is recommended to reduce the risk of infection. But is there any major risk involved in the procedure?
Hysteroscopy risk is very minimal. Less than 1% of cases see any complications. It is generally a safe procedure. Complications can be more seen in operative hysteroscopy.
Some of the rare possible complications could be: -
It is quite rare that hysteroscopy can be life-threatening. Contact your doctor immediately if you have a fever, severe abdominal pain, or heavy bleeding post-procedure. Only if the risks outweigh the benefits the doctor will recommend hysteroscopy. Let us now know the breakup of the entire hysteroscopy cost.
The hysteroscopy cost varies with the additional procedures that doctors need to do. It usually ranges from 5,000 to 50,000. The cost depends on the quality of the service, the requirement for anaesthesia, etc. Further, diagnostic hysteroscopy will cost less than operative one.
Hysteroscopy is a procedure by which the inside of the womb is examined. It is also used as a treatment to remove fibroids, polyps, or any other problem found during diagnosis. The procedure is very simple and minimally invasive.
The procedure as well as the recovery period is short. There can be possibilities of some risk. The main risk involves damaging the reproductive capacity of the woman. In the worst-case scenario, it might even require the removal of the womb as well. In that case, it will make it difficult for you to conceive naturally.
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How painful is a hysteroscopy?
Hysteroscopy is generally painless or causes mild pelvic discomfort. However, this may vary from patient to patient. Minor discomfort will be there during the procedure. Some may even face severe pain in the pelvic region after the procedure.
Is hysteroscopy a major surgery?
Hysteroscopy is a minor surgery as it is minimally invasive. It can be performed as an outpatient or day-case procedure. It does not even require an overnight stay in the hospital unless the doctor is concerned about your reaction to the anaesthesia.
What happens during a hysteroscopy?
The procedure is started by giving general or local anaesthesia. After this, the tube with a camera at the end is inserted into the uterus. It descends into the uterus and gives the complete visual of the uterine cavity. Gas or liquid-like saline is inserted to expand the uterus.
How long does hysteroscopy surgery take?
It is a very short procedure. It might take 5 to 30 mins or at maximum one hour. After the surgery, the patient might be asked to stay in the hospital till the effect of the anaesthesia stays. the procedure usually takes place on an outpatient or day-care basis.