Hysteroscopy in simple words is the procedure used to examine the Uterus. Jaipur is the hub of medical treatments in Rajasthan and has advanced technology to perform it. Mishka IVF, the best IVF center in Jaipur provides the Hysteroscopy treatment.
There are many questions that surround Hysteroscopy like
- What is Hysteroscopy?
- Is a Hysteroscopy painful?
- What can a Hysteroscopy detect?
- What is the recovery time for a Hysteroscopy?
- Is Hysteroscopy a major surgery?
Hysteroscopy Treatment is the procedure to get the problem diagnosed in the most accurate manner. We will try to give you insights on Hysteroscopy Treatment. Everything that you need to know about Hysteroscopy is here.
This article can be broadly divided into three parts:
- What happens in Hysteroscopy
A hysteroscopy is a procedure used to examine the Uterus of a female.
The procedure is carried out using a hysteroscope (this device looks like a narrow telescope with a camera and light at the end of its length.). A hysteroscope sends images to a monitor so that the doctor and/or a specialist nurse can see inside the Uterus.
The hysteroscope enters the uterus through the vagina and cervix (entrance to the womb), it means no lacerations are needed to be made in the patient’s skin.
WHEN CAN A DOCTOR RECOMMEND HYSTEROSCOPY?
A hysteroscopy treatment can be recommended when:
- Symptoms or problems need to be investigated: problems like unusual vaginal bleeding, heavy periods, pelvic pain, recurring miscarriages, difficulty in conceiving, postmenopausal bleeding etc.
- Certain conditions need to be diagnosed: conditions like polyps and fibroids in the womb
- Treatment of certain problems and conditions needs to be done: like removing fibroids, polyps, displaced intrauterine devices (IUDs) and intrauterine adhesions (scar tissue that causes absent periods and reduced fertility)
Nowadays hysteroscopies are carried out in place of a procedure known as dilatation and curettage (D&C) which was well known earlier for the examination of womb and removal of abnormal growths.
WHAT HAPPENS DURING A HYSTEROSCOPY?
A hysteroscopy is usually carried out on a day-case or outpatient basis. It means the patient does not have to stay admitted in the hospital.
The procedure does not always use Anaesthesia. Sometimes, local anaesthesia (n cases where cervix is numbed by utilizing the medications) is used though.
General anaesthesia might be used if the patient is undergoing treatment during the procedure or if the patient would prefer to be asleep while the procedure is being carried out.
The procedure of hysteroscopy can take up to 30 minutes at maximum in cases where treatments are to be done, and only last for around 5 to 10 minutes in the cases where its the diagnosis of a condition or examination of the symptoms that need to be performed.
PREPARING FOR A HYSTEROSCOPY
In the days and in many cases, weeks before the procedure of hysteroscopy is performed, the patient might be adviced to:
- undertake tests to check whether she can undergo the procedure, such as a pregnancy test and blood tests – these might be done at an appointment approximately 7 days before the date of the procedure of hysteroscopy
- use contraceptives – the procedure of hysteroscopy cannot be carried out if the patient is pregnant
- stop smoking – if a patient is due to have a general anaesthetic and she smokes, stopping smoking a few days (or weeks) before the procedure can help in reducing the patient’s risk of complications from the anaesthesia.
- If the patient is going to have polyps or fibroids removed, she might be given medicine to help them shrink beforehand.
THE CHOICE OF ANAESTHESIA
The procedure of hysteroscopy is usually not carried out under the effect of anaesthesia, as the procedure is relatively quicker than the other procedures and does not involve making lacerations in the patient’s skin.
Taking painkillers such as Paracetamol or Ibuprofen about an hour before the procedure can help reduce discomfort eventually.
Infrequently, a local anaesthesia can be utilized to numb the patient’s cervix (entrance to the womb) during the course of the procedure.
Longer and more complicated procedures, like the removal of polyps and fibroids, can be done under the effect of a general anaesthetic. This means the patient will be asleep while the procedure is carried out.
ON THE DAY OF THE HYSTEROSCOPY
If the patient is having a general anaesthesia, the patient will need to resist eating or drinking at least a few hours before the procedure. The doctor will inform the patient whether this applies to her.
If patient will not be requesting anaesthesia or requesting just a local anaesthesia, she can eat and drink as normal.
It will be better to wear loose, comfortable clothes when the patient arrives for her appointment, as, she will be asked to remove any clothes from below her waist and change into the hospital gown for the procedure.
The patient can bring a friend or relative with her for her support, although they might not be allowed in the room during the procedure of hysteroscopy.
The patient will be an outpatient meaning, the patient should be able to go home on the same day as her hysteroscopy. If anaesthesia was utilised, the patient may need to stay in the hospital for a few hours until its effect has worn off.
Patient can drive herself home if no anaesthesia or only local anaesthesia was used. If patient utilised a general anaesthesia, she will not be able to drive for at least 24 hours, so, she might want to arrange for someone to take her home.
RECOVERING AT HOME
It’s a good idea to take rest when the patient gets home.
If the patient utilised a general anaesthesia, she should be assisted by someone for at least 24 hours until the effects of the anaesthesia have worn off. The patient shouldn’t drive or take any form of alcohol during this phase.
While the patient recovers, she might experience:
- Cramps that are similar to the period cramps: this should be relieved in a few days and the patient can take regular painkillers on the doctor’s prescription in the meantime
- Bleeding or spotting: this can last for a week or more; use sanitary napkins instead of tampons until next period to help reduce the risk of womb or cervix (entrance to the womb) becoming infected.
These side effects are very usual and have nothing to worry about, but the patient should seek medical attention if they are severe.
WHEN TO GET MEDICAL ADVICE
The patient must contact the clinic if she:
- Has severe pain that is not relieved by regular painkillers
- Is heavily bleeding which means she has to change sanitary napkins frequently
- Passes bright red blood or large clots
- Has a vaginal discharge that is foul-smelling
- Feels shivery and hot
These symptoms could be a sign of a complication, say, an infection.
Women must be aware of their bodies and if they find something wrong about its functioning, they must take actions to control the further spread of the complications. Hysteroscopy might be recommended if the symptoms are severe or if the doctor has doubts regarding the complications about the patient’s body. Here at Mishka IVF, we prefer not to recommend procedures or operations until we are sure the patient needs them. These complications are curable if you have the right clinic, the right doctor and the will power!