Hysteroscopy

What is a hysteroscopy procedure?

A hysteroscopy is a procedure where a long, thin telescope is used to inspect the inside of your uterus. Your uterus is filled with fluid to allow the telescope to see inside, and anything unusual is removed or biopsied. You are in complete control since you will be awake during your procedure.

Why get a hysteroscopy procedure?

The aim of the surgery is to identify and fix anything that affect fertility or pregnancy. This includes:

  • Polyps and fibroids.

  • Uterine septums and adhesions (old scar tissue).

  • Endometrial (uterine lining) problems such as chronic endometritis.

The benefits of awake hysteroscopy over General Anaesthetic (asleep) include:

  • Less time in hospital and quicker procedure

  • Quicker recovery time: no impact on work or driving immediately afterwards.

  • Less risk of complications, particularly uterine damage.

Are there any complication risks?

Complications specific to awake hysteroscopy are uncommon, occurring in less than 1% (1 in 100 surgeries). These include:

  • Severe pain.

  • Dizziness and feeling faint.

  • Nausea or V omiting.

  • Bleeding (haemorrhage) after the operation.

  • Infection.

    There may also be rare risks that are not anticipated and therefore not listed here, or risks that are specific to you. Please let me know if you have any specific concerns to consider.

Instructions prior to your procedure:

  • THE DAY BEFORE: Come to the clinic to do a pregnancy test and collect your medication.

    • Misoprostol is inserted into the vagina the night before your procedure.

    • You may experience light bleeding, belly/uterus cramps, loose bowels.

  • ONE HOUR BEFORE: Diclofenac 50mg (oral) taken with food

What to expect following surgery

At home

  • Take your usual prescription medication as directed.

  • Take Paracetamol and Ibuprofen as needed for pain relief.

  • Do not put anything into the vagina for 2 - 4 weeks or until your bleeding has completely stopped to avoid infections. This includes tampons, douches, and sex or sex toys.

  • Shower rather than bathing to reduce the risk of infections. Also avoid pools and spas.

Activity

  • Driving – immediately if you feel well.

  • You can return to work, normal activities, and play sports immediately if you feel well.

Post operation concerns

Please contact my rooms if you experience any of the following:
• Fever above 38°C
• Vaginal bleeding that completely fills a sanitary pad in under 2 hours
• A foul-smelling discharge from the vagina
• Pain or burning when you wee, or difficulty urinating.
• Bloating or severe pain in your belly/pelvis not relieved by paracetamol or ibuprofen • Shortness of breath, chest pain, or calf/leg pain
• Nausea and vomiting

  • Pain - you may experience some cramps in your belly or pelvis. This should settle in 1 – 2 days.

  • Recovery time – immediate,

  • Bleeding or discharge - light bleeding or discharge from the vagina is normal and should subside of the next 2 - 4 weeks.

  • You can eat and drink a normal diet immediately.