This is the use of a hysteroscope to view the inside of a woman’s uterus (womb). A hysteroscope is a long, thin telescope with a camera on the end. Other tiny tools may also be inserted into the uterus through the hysteroscope.
—removal of fibrous or muscular tissue (fibroids)
Removal of polyps (usually noncancerous)
Locate and remove intrauterine devices (IUDs)
The result of the hysteroscopy depends on the reason for the procedure. In some cases, the doctor may be able to treat a condition right away. In other cases, you may need further surgery or other treatment.
Complications are rare, but no procedure is completely free of risk. If you are planning to have hysteroscopy, your doctor will review a list of possible complications, which may include:
Swelling or bleeding
Reaction to anesthesia
Factors that may increase the risk of complications include:
Arrange to have someone drive you home. Also, arrange for help at home.
If instructed, eat a light meal the night before the surgery. Do not eat or drink anything after midnight.
Depending on the reason for the hysterscopy, your doctor may use:
—blocks pain and keeps you asleep through the surgery; used for therapeutic procedure
Regional anesthesia—numbs one area of the body; used for diagnostic or therapeutic procedure
Local anesthesia—just the area that is being operated on is numbed; given as an injection and may also be given with a sedative; used for diagnostic procedure
Description of the Procedure
A speculum will be inserted into the vagina, similar to performing a Pap smear. It will hold your vagina open and allow instruments to pass more easily. The doctor will clean the vagina and may dilate the cervix. The hysteroscope will then be put into the uterus through the vagina and cervix. The uterus will be filled with carbon dioxide gas or a liquid. This will cause the uterus to inflate, allowing the doctor to get a closer, clear look at the uterine walls.
If you are having the procedure done for diagnostic reasons, the doctor will examine the uterus for abnormal tissue. A
may be taken, or the uterine walls may be swabbed to get cell samples.
If you are having the procedure done for therapeutic reasons, the doctor will insert small tools through the hysteroscope. The doctor will use the tools to remove diseased tissue and make repairs. In some cases, the doctor will use another viewing tube, called a laparoscope, passed into the abdomen. This allows the doctor to monitor the outside of the uterus and detect any possible perforation of the uterus.
How Long Will It Take?
About 15-45 minutes (or longer for therapeutic procedure)
How Much Will It Hurt?
You will have mild cramping and soreness. Ask your doctor about pain medicine.
When you return home after the procedure, do the following to help ensure a smooth recovery:
Rest as needed. Ask for someone to help you at home.
Recovery time is minimal. Return to your normal activities the day after the procedure.
Do not take medicine without your doctor’s approval. Some medicines may make bleeding worse.
Keep in mind that you may have difficulty using the bathroom for a few hours after the procedure. You may also have watery or bloody vaginal discharge for 3-4 weeks.
You may have some bleeding or discharge from your vagina for several days postsurgery. A sanitary napkin or pad may be worn.
Talk to your doctor about when it is okay to have sex, use tampons, or put anything else in the vagina.
Be sure to follow your doctor's
Call Your Doctor
After arriving home, contact your doctor if any of the following occurs:
Signs of infection, including fever and chills
Abnormal bleeding (more than a menstrual period)
Foul-smelling vaginal discharge
Cough, shortness of breath, difficulty swallowing, or chest pain
Please be aware that this information is provided to supplement the care
provided by your physician. It is neither intended nor implied to be a
substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER
IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the
advice of your physician or other qualified health provider prior to
starting any new treatment or with any questions you may have regarding a