What Is a Diagnostic Hysteroscopy?

Your gynecologist will suggest a diagnostic hysteroscopy to check the inside of your womb and take a tissue sample (biopsy) if you have

• Abnormal bleeding during periods.
• Heavy periods.
• Repeated abortions.
• Infertility(difficulty becomingpregnant).
• Bleeding aftermenopause.

It is useful to diagnose

• Uterine fibroids(non-cancerous growths of the fibrous tissue in the womb).
• Uterine polyps (abnormal tissue growth inside the womb lining).
• Uterine adhesions (scartissue formation in the womb).
• Endometrialcancer(cancerof the womb lining).
• Endometrial hyperplasia (enlargement of the womb tissues).

Diagnostic hysteroscopy may be done in a clinic under local or no anesthesia. However, if you have more complex issues, it may be done in the hospital in an operating room under local, regional, or general anesthesia.

Before the procedure

• You will be informed to empty your bladder.
• You will be prepped and draped in a sterile manner.
• The vaginal area will be cleaned and shaved.
• An intravenous line may be put on your arm andsedativeswill be given if required.
• You will be asked to lie down on your back and keep yourfeetin stirrups.
• Your gynecologist may dilate your cervix for an easier view.

During the procedure

• A hysteroscope (thin flexible scope) will be inserted into your vagina toward the cervix into your uterus (womb).
• Saline fluid orgasmay be pumped through the hysteroscope to expand your womb for a better view.
• Your gynecologist will view and check the womb linings through the hysteroscope and take photographs or videos.
• If your gynecologist feels that it is required to take a tissue sample, they may pass a small instrument through the hysteroscope and take a tissue sample.
• If further your gynecologist feels the need for a procedure such as afibroidremoval, a tool is inserted through the hysteroscope.
• For some complex issues, your gynecologist may insert a laparoscope through your belly to view outside of your womb at the same time.
• When the procedure is done, the hysteroscope is removed.

After the procedure

• Your recovery will vary based on the type of anesthesia used during the procedure.
• If your doctor uses general anesthesia or sedative, then yourblood pressure, pulse, andbreathing将被监控,直到他们是稳定的,基于“增大化现实”技术的游戏吗e alert.
• Once you are stable, you will be discharged.

• You may feel sleepy if you are given general anesthesia during the procedure.
• You will recover rapidly after this procedure and can return to your normal activities within a few hours to one to two hours.
• You can start taking a normaldietunless your doctor tells you otherwise.
• You may have uterinecrampsfor a day or two, which will be normally managed withover-the-counterpainkillers.
• You may experience minimal-to-moderate bleeding from the vagina orspotting.
• 你可能觉得气体膨胀painin the upper belly or shoulder due to gases used during the procedure, which may last for 24 hours.Paincan be managed with some painkillers.
• You will be informed to
  • Take pain relievers for your soreness as advised by your doctor.
  • Not takeaspirinor certain other medicines because this may increase your chances of bleeding.
  • Notdouche(showering of the vagina with water) or have sex for the next two weeks after the procedure.
  • Avoid using tampons for some weeks.

It is a generally safe procedure, and significant complications are very rare. However, if inappropriate instruments or techniques are used, it may cause

• Risk of anesthesia (if general anesthesia was given).
• Infection.
• Bleeding.
• Pelvic inflammatory disease(inflammation of the women’s reproductive organs).
• Damage to the cervix.
• Scar tissue formation in the uterus.
• Anaphylactic reactions to medications used during the procedure.
• Over distension of the uterinecavity.
• Pulmonary oedema (swelling in thelungs).
• Blood clotting in the vessels.
• Rupture or tearing of the uterus (rare).
• Excess fluid/gas buildup during the expansion of the womb.

You should seek for doctor’s advice if you have

• Breathlessness or difficulty in breathing.
• Fever.
• Nauseaandvomiting.
• Heavy bleeding from the vagina.
• Severe tummy pain.