Hysteroscopy: A Gynecologist’s Guide

Women often experience abnormal uterine bleeding. To diagnose and treat these conditions, one of the most valuable tools used is hysteroscopy.

What is Hysteroscopy?

Imagine having a camera small enough to travel inside the uterus, offering a live tour of its inner landscape. Hysteroscopy is a minimally invasive procedure that allows us to take a closer look inside the uterus. We use a device called a hysteroscope, which is a thin, lighted tube that we insert through the vagina and cervix into the uterus. This tool helps us diagnose and, at times, treat problems that could be causing abnormal bleeding or infertility

Why Do We Perform Hysteroscopy?

Many women experience unusual uterine bleeding – maybe it’s heavier than normal, occurs between periods, or happens after menopause. The primary reason for a hysteroscopy is to investigate the cause of abnormal bleeding. This can include heavy menstrual periods, bleeding between periods, or bleeding after menopause. It can reveal the presence of polyps, fibroids, adhesions, or other issues that might be affecting your menstrual cycle or fertility. By performing a hysteroscopy, we can identify issues such as:

  • Uterine Polyps: These are growths attached to the inner wall of the uterus that extend into the uterine cavity.
  • Fibroids: These are noncancerous growths in the uterus that can cause heavy bleeding and other symptoms.
  • Adhesions: Also known as Asherman’s syndrome, these are bands of scar tissue that can form inside the uterus and may lead to changes in menstrual flow or infertility.

There are two types of hysteroscopy: diagnostic and operative.

Diagnostic Hysteroscopy is used to look inside the uterus to diagnose any potential problems. It’s often used in conjunction with other tests, like ultrasounds or hysterosalpingography (an X-ray dye test to check the fallopian tubes).
Operative Hysteroscopy goes a step further. If we find an abnormality during the diagnostic phase, we can often treat it during the same procedure. For example, we can remove polyps or fibroids using specialized instruments.

The Procedure

The hysteroscopy procedure is usually quick, lasting about 10 to 30 minutes. It can be done in an outpatient setting, meaning you can go home the same day. Before the procedure, we may give you medication to help you relax or anesthesia, depending on the specifics of your case.

Recovery and Outlook

After a hysteroscopy, some patients may experience cramping or slight vaginal bleeding, but these symptoms typically resolve quickly. Most patients can return to their normal activities within a day or two.

Hysteroscopy is a safe, effective, and less invasive method for diagnosing and treating conditions within the uterus. Sukhi Pariwar Clinic assures you that if you need this procedure, we will provide comprehensive care and support throughout the process to ensure the best possible outcome for your health.