What Is Hysteroscopy? A Safe Way To Examine The Inside Of The Uterus

What Is Hysteroscopy

When it comes to women’s health, early diagnosis and proper examination are key. One such important diagnostic tool is hysteroscopy. 

Now you might be thinking, what is hysteroscopy? 

Don’t worry; all your queries will be answered in this blog. 

What is Hysteroscopy?

Hysteroscopy is a procedure that uses a hysteroscope, a thin, lighted tube, to see what is wrong in the uterus. 

You do not need to be scared, because there are no cuts or stitches given during the procedure, because the doctor passes the tube through the natural opening -the vagina. Hysteroscopy is done to find out what is causing the issue in the uterus when someone notices unusual bleeding or difficulties in conceiving.

In simple words, hysteroscopy is like taking a direct look inside the uterus and understanding the ongoing condition.

Why Hysteroscopy Is Done

Hysteroscopy can be used for both diagnosis and treatment. Below are some common reasons why a doctor might recommend it:

1. Irregular or Heavy Periods

If your periods are not regular, or if they are regular but there are still problems that arise, like heavy bleeding or very low blood flow, then in that case, the hysteroscopy may help the doctor to find out the root cause.

2. Difficulty Getting Pregnant

For those women who are facing multiple miscarriages or having difficulties conceiving, well, the hysteroscopy helps by identifying the shape of the uterus, which may be the issue.

Also read: Hope begins with the best infertility treatment

3. Uterine Polyps or Fibroids

There happen sometimes small growths are diagnosed in the uterus, which makes the pregnancy complicated. The hysteroscopy helps to find out about those and remove them safely.

4. Postmenopausal Bleeding

Any bleeding after menopause should be checked. Hysteroscopy helps rule out serious causes like cancer.

5. Removing an IUD

If an intrauterine device (IUD) has shifted or is not coming out easily, hysteroscopy can be used to remove it in a very easy way.

Types of Hysteroscopy

There are mainly two types:

  • Diagnostic Hysteroscopy

Used to simply look inside the uterus and identify issues. It’s usually done in an outpatient setting and doesn’t take long.

  • Operative Hysteroscopy

This is done not just to identify the problem ongoing in the uterus but also to fix small problems it at the same time, like removing extra tissues, growths, etc.

The Procedure: What To Expect

A hysteroscopy is usually done in a hospital or clinic. Here’s a step-by-step idea of how it works:

  1. Preparation: You may be asked to fast for some hours before execution, like not being allowed to eat or drink anything. This fast is asked to be done if you are going to get a general anesthesia, as in this your body is in deep sleep, and in case your stomach is not empty, there are chances that the food will come up and enter your lungs while you are unconscious.

  2. Anesthesia: Some hysteroscopies are done with the medicine that is used to numb only one small area, called local anesthesia (numbing the area), while others may need general anesthesia (you’ll be asleep) in case it’s about removing the fibroids or polyps.

  3. The Process:

    • With a speculum (a small tool), the vaginal walls are opened.
    • The hysteroscope gets inside through the vagina and cervix into the uterus.
    • To get clear visuals, the doctor fills the small amount of fluid or Carbon dioxide gas so that it can make some space in the uterus, which can make the detailed examination possible. 
    • If treatment is needed, the hysteroscope carries some small tools along with it, which can be used to remove polyps, fibroids, or scar tissue.

  4. Duration: It usually takes 10–30 minutes, depending on whether it’s diagnostic or operative.

After The Procedure

Most women go home the same day. You may feel light cramping or have some spotting, which is normal and goes away in a few days.

Here are some tips for aftercare:

  • Rest for the day

  • Avoid lifting heavy objects

  • Avoid using the menstrual cup or having intercourse for some days until your doctor instructs.

  • Watch for signs like fever, heavy bleeding, or unusual discharge, and contact your doctor if needed if you notice fever, heavy bleeding, or any unusual discharge.

Benefits Of Hysteroscopy

  • No external cuts or scars

  • Quick recovery

  • Can diagnose and treat at the same time

  • Very little pain and discomfort

  • Short hospital stay (usually none)

Risks And Side Effects

Although it’s generally safe, as with any medical procedure, there are mall risks like:

  • Infection

  • Uterine injury (rare)

  • Reaction to anesthesia

  • Cramps or light bleeding

But serious complications are uncommon. but serious complications are uncommon, as a good doctor always makes sure to deeply analyze the health history of the patient for safety concerns. 

Who Shouldn’t Have A Hysteroscopy?

Hysteroscopy is not possible in certain situations, such as:

During the pregnancy period

In case of pelvic infection

If the opening of the cervix is very tight.

When Is The Best Time To Have It?

The ideal time to have a hysteroscopy is within the first week after your period ends. During this time, the doctor can get a clearer view of the uterine lining.

How To Prepare Mentally And Physically

Feeling nervous is normal, but knowing what to expect helps ease the mind. Talk openly with your doctor. Ask questions like:

  • Why do I need a hysteroscopy?

  • Will it be painful?

  • How soon will I recover?

  • What results can I expect?

Being informed helps you feel more in control of your health.

Conclusion

Hysteroscopy is a simple, effective, and safe way to get answers about many uterus-related health concerns. Whether it’s for irregular periods, fibroids, or fertility issues, this procedure provides a clear view inside your uterus without the need for major surgery.

If your doctor recommends it, know that it’s a step toward better understanding your body and finding the right treatment.

Categories : Gynaecologist

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