Hysteroscopy

Hysteroscopy is a medical procedure that involves examining the inside of the uterus using a thin, lighted instrument called a hysteroscope. It is both a diagnostic and, in some cases, a therapeutic procedure that allows the gynecologist to visually inspect the uterine cavity and treat certain conditions of the uterus.

Diagnostic Use

Hysteroscopy is often used to investigate and diagnose various uterine conditions, such as abnormal bleeding, recurrent miscarriages, pelvic pain, and fertility issues.

Therapeutic Use

In addition to diagnosis, hysteroscopy can be used for certain treatments, including the removal of uterine polyps, fibroids, adhesions (scar tissue), and the evaluation of abnormalities such as uterine septa.

Indications

Hysteroscopy may be recommended for various reasons, including:

• Abnormal uterine bleeding
• Thickened endometrium requiring removal
• Investigation of recurrent miscarriages
• Evaluation of infertility
• Examination of suspected uterine abnormalities
• Removal of abnormal growths (e.g., polyps)
• Removal of adhesions from previous surgeries
• Detection and removal of an intrauterine device (IUD)

Procedure

Hysteroscopy is usually performed in a hospital’s surgical unit. Before the procedure, you may be given medication to help you relax, or general anesthesia may be administered to prevent pain. The hysteroscope is then gently inserted through the cervical opening into the uterus, using a distension medium (typically saline solution) to expand the uterine cavity for better visualization.

If necessary, a biopsy can be taken, or a polyp can be removed using very fine instruments inserted through the hysteroscope. In cases where more complex surgery is needed (such as fibroid removal or uterine septum resection), a more advanced hysteroscope with electrosurgical capabilities may be used to remove larger lesions.

For women of reproductive age, the procedure is performed right after the menstrual period ends, during the first half of the cycle, when the endometrium is at its thinnest, allowing for better examination.

Recovery

Recovery time is generally quick, and most patients can go home the same day. Mild cramping or light spotting may occur for a few days, which is normal. Pain-relief medications may be prescribed. However, if you experience fever, chills, or heavy bleeding, you should contact your doctor immediately.

The medical team at Thely-Clinic has specialized expertise and extensive experience in hysteroscopic treatments.