Hysteroscopy

Hysteroscopy

Hysteroscopy

What is Hysteroscopy?

A hysteroscopy is a procedure to look inside your womb (uterus) to check for any problems. Sometimes, a problem can be treated at the same time. A hysteroscopy is done with a narrow tube-like telescope with a camera. This is called a hysteroscope. A specialist doctor (gynaecologist) or specialist nurse will put the hysteroscope into your vagina and then pass it up through the neck of your womb (cervix) and into your womb.

 

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About Iranian Surgery

Iranian surgery is an online medical tourism platform where you can find the best surgeons in Iran. The price of a Hysteroscopy procedure in Iran can vary according to each individual’s case and will be determined based on photos and an in-person assessment with the doctor. So if you are looking for the cost of Hysteroscopy procedure in Iran, you can contact us and get free consultation from Iranian surgery.

 

 

 

 

Before Hysteroscopy Procedure

Why it's done

You may have a hysteroscopy for the following reasons:

. To find out what’s causing any unusual bleeding from your vagina and/or womb. This can include heavy periods, bleeding between periods or bleeding after menopause.

. To check for polyps (small growths of tissue) and some types of fibroid (non-cancerous growths of muscle). These can sometimes be treated during your hysteroscopy.

. To see if there are any problems that might be making it difficult for you to get pregnant.

. To see if there is anything that might be causing repeated miscarriages.

. To treat scar tissue in the lining of your womb.

. To take out an intra-uterine system (IUS) or coil that has moved out of place.

. To check for cancer in the lining of your womb (endometrial cancer).

. For Removal of a small tissue sample (biopsy)

. For Abnormal Pap test results

You can’t have a hysteroscopy if you are pregnant. Your healthcare provider may have other reasons to do a hysteroscopy.

 

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Preparation for hysteroscopy

How do I get ready for a hysteroscopy?

Your hospital will tell you how to prepare for your hysteroscopy procedure. If you’re still having periods, you need to be sure there’s no chance that you’re pregnant at the time of your procedure. For this reason, it’s important to use contraception or not have sex between your last period and the test.

Don’t worry if you’re bleeding at the time of your procedure. Your hysteroscopy can usually go ahead, unless it’s heavy, but check with your hospital.

You’ll usually have the procedure and go home on the same day.

Your hospital might tell you to take an over-the-counter painkiller such as ibuprofen (a non-steroidal anti-inflammatory medicine) an hour or two before your procedure.

You may not need an anaesthetic or you may have a local anaesthetic. You may be able to have a general anaesthetic if you prefer or if you’re having a longer and more complicated operation such as having fibroids treated. This means you’ll be asleep during the operation. A general anaesthetic can make you sick so it's important that you don't eat or drink anything for six hours before your hysteroscopy. Follow your anaesthetist or doctor or specialist nurse’s advice and if you have any questions, just ask.

Your nurse or doctor will discuss with you what will happen before, during and after your procedure, including any pain you might have. If you’re unsure about anything, ask. No question is too small. It’s important that you feel fully informed so you’re in a position to give your consent for the operation to go ahead. You’ll be asked to sign a consent form.

Side effects and Complications

Side effects of hysteroscopy

Side-effects are the unwanted but mostly temporary effects that you may get after having the procedure.

After a hysteroscopy, you may have:

. Cramping pains for a day or two, like those you get during a period

. Feeling or being sick

. Bleeding from your vagina – this usually gets better after a few days, but can last for up to a week, depending on if you’ve had any treatment

Complications of hysteroscopy

Complications are when problems occur during or after your procedure. The possible complications of a hysteroscopy include the following.

. Damage to the wall of your uterus or your cervix, caused by the instruments used to look inside. If this happens, you may need another operation to repair the damage.

. Heavy bleeding during or after your hysteroscopy. If it’s severe, your doctor or specialist nurse may put a special water-filled balloon inside your uterus to stop the bleeding.

. An infection, which means you may need antibiotics.

The risk of complications is higher if you have a hysteroscopy under general anaesthesia.

 

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Benefits

What are the benefits of hysteroscopy?

Compared with other, more invasive procedures, hysteroscopy may provide the following advantages:

. Shorter hospital stay.

. Shorter recovery time.

. Less pain medication needed after surgery.

. Avoidance of hysterectomy.

. Possible avoidance of "open" abdominal surgery.

During Hysteroscopy Procedure

Hysteroscopy procedure

What happens during a hysteroscopy?

A hysteroscopy usually takes about 10 to 15 minutes but it depends on what you are having it for. Your doctor or specialist nurse will ask you to lie down with your legs up. You can put your legs into supports.

There are two main ways your doctor or specialist nurse may do a hysteroscopy.

. Your doctor or specialist nurse may put a speculum inside your vagina to help them see your cervix. This is the same instrument that’s used when you’re having a cervical smear test. They’ll then pass the hysteroscope through your cervix and into your womb.

. Sometimes another technique (called vaginoscopic hysteroscopy) is used in which your doctor or specialist nurse can avoid using a speculum by using a thin telescope instead. This can be more comfortable. They’ll pass the hysteroscope through your vagina and use the hysteroscope to find your cervix and pass through into your womb without a speculum.

With both techniques, your doctor or specialist nurse will then put a sterile (clean) fluid into your womb to make it bigger, which helps your doctor or specialist nurse to see clearly. The camera on the hysteroscope sends pictures of the inside of your womb to a monitor where your doctor or specialist nurse can see it. They’ll look at these images and take a sample of tissue (biopsy) or do any treatment that’s needed. You can usually see this on the monitor too.

A hysteroscopy can be uncomfortable and sometimes painful, and you might have some pain like period pains while the hysteroscopy is being done. If you find it too painful, tell your doctor or specialist nurse and they’ll stop.

Alternatives to hysteroscopy

Depending on what’s causing your symptoms, there may be other investigations available. These include the following.

. An ultrasound can be used to diagnose some gynaecological conditions such as fibroids. You may have an ultrasound scan that looks at your womb from the outside (through your tummy) and from the inside using a device that goes into your vagina. Other investigations such as an MRI scan are also used to diagnose conditions such as endometriosis and fibroids.

. An endometrial biopsy is an alternative to a hysteroscopy if your doctor needs to take a sample of the lining of your womb. They’ll put a narrow tube through your cervix and into your womb and use gentle suction to remove samples of the lining. These will be looked at under a microscope. You can have this done at the same time as a hysteroscopy.

Your doctor will talk to you about the treatment or investigation options for you.

After Hysteroscopy Procedure

Aftercare for hysteroscopy

If you didn’t have an anaesthetic or had a local anaesthetic, you should be able to go home a short time after your procedure.

If you had a general anaesthetic, you’ll need to rest until the effects have passed and then, when you feel ready, you can go home. Make sure someone can take you home. And ask someone to stay with you for a day or so while the anaesthetic wears off. After a general anaesthetic, you may find you’re not so coordinated or that it’s difficult to think clearly. This should pass within 24 hours. In the meantime, don't drive, drink alcohol, operate machinery or sign anything important.

You might have some discomfort as the anaesthetic or painkiller wears off. You can take over-the-counter painkillers, such as paracetamol or ibuprofen if you need to.

You may have some bleeding from your vagina. You can use sanitary pads until the bleeding stops – it’s best not to use tampons.

Your nurse may give you a date for a follow-up appointment. If your doctor or specialist nurse took tissue samples, it can take a couple of weeks to get the results. These will usually be sent to the doctor or specialist nurse who did the hysteroscopy and they’ll go through them with you.

Most women don’t have any problems after having a hysteroscopy. But contact your doctor or specialist nurse or go to the accident and emergency department of your local hospital if you have:

. Heavy bleeding

. Signs of an infection, such as a fever, shivering and chills or foul-smelling discharge from your vagina.

. Severe abdominal (tummy) pain

 

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Recovery for hysteroscopy

If you had your hysteroscopy as an out-patient with no anaesthetic, you should be able to go back to your usual activities the same day. But take a day or two off work to recover if you can. If you’ve had a general anaesthetic and treatment, it’s likely to take longer to get back to normal so get plenty of rest for a few days.

It’s normal to have some period-like cramping pains and some bleeding for a few days after your hysteroscopy. If you need pain relief, you can take over-the-counter painkillers.

You can usually exercise when any bleeding and pain has settled down. It’s best to wait a week until you have sex. And most importantly, wait until you feel ready.

Outlook

Your doctor may suggest a hysteroscopy for several different reasons. These are situations where a closer look or minor surgery may be required for your long-term health and well-being. If you have questions, be open and honest with your doctor. Ask any questions that you need to.

The risks with a hysteroscopy are extremely low, but should still be discussed with your doctor before any procedure is performed. Recovery from a hysteroscopy is quick, and there’s generally no lasting effect beyond the first couple of days following the procedure.

 

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1Is a hysteroscopy painful?
During a hysteroscopy you may experience some discomfort relatable to the discomfort of period cramps. If you are awake, most people don't feel any pain or discomfort, just some minimal cramping. Some women do experience pain, and at that time the procedure must be stopped. ... if the hysteroscope is flexible or rigid.
2Is a hysteroscopy done under general Anaesthetic?
A hysteroscopy is not usually carried out under anaesthetic, as it's a relatively quick procedure and does not involve making cuts (incisions) in your skin. ... Longer or more complicated procedures, such as the removal of fibroids, may be done under general anaesthetic.
3Are you awake for a hysteroscopy?
A hysteroscopy can either be in a hospital or at your doctor's office. You can be either awake or under general anesthesia during the procedure. If you're awake, your doctor will give you medicine to help you relax.
4What happens after a hysteroscopy?
Hysteroscopy is most often done on an outpatient basis. Otherwise, you won't need any special care after a hysteroscopy. You may have cramping and vaginal bleeding for a day or two after the procedure. ... Don't douche or have sex for 2 weeks after the procedure, or as advised by your healthcare provider.
5Can a hysteroscopy detect cancer?
If your doctor suspects you have uterine cancer, you may have some of the following tests, but you are unlikely to need all of them. The main tests for diagnosing cancer of the uterus are transvaginal ultrasound, examination of the lining of the uterus ( hysteroscopy) and tissue sampling ( biopsy ).
6What can a hysteroscopy detect?
A hysteroscopy is used to diagnose and treat problems of the uterus or womb. The procedure involves a thin, telescope-like camera inserted into the uterus via the vagina. ... A diagnostic hysteroscopy is carried out to investigate abnormal uterine bleeding.
7How soon after a hysteroscopy can I have a bath?
Results can take up to two weeks to be obtained. You will be able to return to normal activities after your hysteroscopy. We do advise however, that you shower rather than have a bath for a few days afterwards and avoid public swimming pools, tampons and vaginal douching for two weeks.
8What is the recovery time for a hysteroscopy?
These symptoms usually go away in 1 or 2 days. If the doctor filled your uterus with liquid during the procedure, you may have watery vaginal discharge for a few days. Many women are able to return to work on the day after the procedure. But it depends on what was done during the procedure and the type of work you do.
9How long does hysteroscopy surgery take?
The procedure itself can take anywhere from just 5 minutes to 30 minutes depending on what's being done. For most diagnostic-only purposes, the hysteroscopy can be done in your doctor's office with just local or regional anesthesia.
10Is it painful to have hysteroscopy?
You can usually see this screen too. Hysteroscopy can be uncomfortable and sometimes painful, and you might have some pain like period pains while the hysteroscopy is being done. If you're having the procedure and it's painful, tell your doctor.

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