FAQs on Hysteroscopy Procedure in Los Angeles
Hysteroscopy is a procedure where the doctor uses a flexible, lighted tube (hysteroscope) to examine the canal of the cervix, as well as the inside of the uterus. Other procedures performed during a hysteroscopy are biopsy (taking a tissue sample), cautery to prevent bleeding (destroying tissue using heat or electric current), removal of fibroids or polyps, and cryosurgery (destruction of tissue using chemicals and freezing).
Will I be put to sleep for the procedure?
Diagnostic hysteroscopy is performed in the doctor’s office with only local anesthesia. A mild sedative can be given if necessary. When therapeutic hysteroscopy is done, regional or general anesthesia may be required.
Why is the hysteroscopy performed?
Hysteroscopy is used to help diagnose causes of infertility, uncover the reason for repeated miscarriages, and treat a variety of conditions. Reasons for the procedure include:
• Abnormal Pap test
• Postmenopausal bleeding
• Uterine adhesions
• Asherman’s syndrome
• Polyps and fibroids
• Remove displaced intrauterine device (IUD)
What is an operative hysteroscopy?
An operative hysteroscopy is where this procedure is used to correct certain uterine problems. Small adhesions, fibroids, polyps, and other growths can be removed using the hysteroscope, which eliminates the requirement of open surgery. Removal of the endometrial lining (ablation) is used to treat severe bleeding, and an endometrial biopsy is done when uterine cancer is suspected.
What are the risks of the hysteroscopy procedure?
As with other surgical procedures, there are some risks to consider. Possible complications of the hysteroscopy include bleeding, infection, perforation of the uterus, damage to the cervix, and pelvic inflammatory disease.
How do I prepare for the hysteroscopy?
Before the procedure, discuss all medications you are taking with the doctor. You will be asked to sign a consent form. A complete medical history and physical examination are done to make sure your health is adequate beforehand. Additionally, you will need certain laboratory and diagnostic tests. Do not eat or drink after midnight, and arrange to have someone drive you home.
What happens during the procedure?
After you change into a gown and empty your bladder, the nurse places an intravenous line in your arm. You are positioned on the examination table with your feet in stirrups. The nurse cleanses the vaginal area with an antiseptic solution. A small device is used to dilate (open) the cervix so the hysteroscope can easily be passed into the uterus. To expand the uterus, a special solution (liquid or gas) is injected. The doctor can take pictures or make a video using the hysteroscope, and tiny instruments are easily inserted to remove unwanted tissue.
What happens after the hysteroscope procedure?
After the hysteroscope, you will be monitored by a nurse for around 30 minutes. Expect to experience mild cramping and bleeding for 1-2 days. Report any signs of infection to the medical facility, such as fever, vaginal discharge, or severe abdominal pain. Avoid vaginal douching and sexual intercourse for two weeks, and resume activities as tolerated.
What are the benefits of a hysteroscopy?
With the hysteroscope, there is no need to cut through the skin, subcutaneous tissue, and muscle of the abdomen or to cut the uterus. There is less scarring and pain with this procedure compared to traditional surgery. In addition, there are fewer complications, decreased chance of infection, and increased healing with the hysteroscopy.