FAQs On Hysteroscopy
by PRIYANSHU SAXENA Medi MarcomQ- What is Hysteroscopy?
Ans-Hysteroscopy is a
surgical procedure in which a telescope is inserted inside the uterus to
examine the uterine lining for any pathology and serves as a method for
surgical intervention (operative hysteroscopy).
Q- What are the indications of
Hysteroscopy?
Ans- Sub mucous (internal) fibroids
Scarring (adhesions)
Endometrial polyps
Uterine septa and other congenital
malformations
Abnormal gynecological bleeding
Infertility
Find and reposition a misplaced
intrauterine device (IUD).
Q- What is Diagnostic
hysteroscopy Test?
Ans- Diagnostic Hysteroscopy
Before
performing hysteroscopy, a trans vaginal ultrasound and sometimes a hysterosalpingogram
(an x-ray of the uterus and fallopian tubes) may be performed to provide
additional information about the cavity which can be useful during surgery. It
is usually conducted on a day-care basis with either general or local
anesthesia and takes about ten minutes to perform.
The first
step of hysteroscopy involves cervical dilatation - stretching and opening the
canal of the cervix with a series of dilators. Then the hysteroscope, a narrow
lighted telescope, is passed through the cervix and into the lower end of the
uterus. The doctor systematically examines the lining of the cervical canal;
the lining of the uterine cavity; and looks for the internal openings of the
fallopian tubes where they enter the uterine cavity - the tubal ostia.
If
required, hysteroscopy guided biopsy and curettage (a surgical scraping of the
inside of the uterine cavity) is performed after the hysteroscopy and
endometrial tissue is sent for pathological examination.
Q- What is Operative hysteroscopy
Test?
Ans- Operative Hysteroscopy
It can
treat many of the abnormalities found during diagnostic hysteroscopy at the
time of diagnosis. The procedure is very similar to diagnostic hysteroscopy
except that operating instruments can be placed into the uterine cavity through
a channel in the operative hysteroscope. Fibroid tumors, scar tissue
(adhesions), and polyps can be removed from inside the uterus.
Q- How to prepare for
hysteroscopy?
Ans- Tell your doctor if you:
Are or might
be pregnant.
Are taking
any medicines.
Are allergic
to any medicines.
Have had
bleeding problems or take blood-thinners, such as aspirin or warfarin.
Have been
treated for a vaginal, cervical, or pelvic infection in the past 6 weeks.
Have any
heart or lung problems.
Do not
douche, use tampons, or use vaginal medicines for 24 hours before the
hysteroscopy.
You may be
given a medicine (sedative) to relax you for the test, or general, regional, or
local anesthesia can be used. Your doctor will discuss this with you. If you
are going to have general anesthesia, you will not be able to eat or drink for
8 hours before the test.
You will be
asked to sign a consent form before the test.
Q- What are the complication of
hysteroscopy?
Ans-
Patients often have cramping similar to that experienced during a
menstrual period; and some vaginal staining for several days. Regular
activities can be resumed within one or two days after surgery.
>
Sexual
intercourse should be avoided for a few days or for as long as bleeding occurs.
Infection of
the uterus or fallopian tubes can result.
Injury to
uterus or surrounding organs.
Allergic
reactions
Bleeding
Q- What are the effect of
hysteroscopy test?
Ans- Reasons you may not be able to have the
hysteroscopy or why the results may not be helpful include:
Having your
menstrual period. Your doctor will not be able to see the lining clearly.
Being
pregnant. A hysteroscopy will not be done if you are pregnant because of the
risk to your developing baby (fetus).
If a vaginal
or cervical infection is present.
If you are
not sexually active, a hysteroscopy can be done anytime except during your
menstrual period.
If you are
post menopause, a hysteroscopy can be done anytime.
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Created on Dec 31st 1969 18:00. Viewed 0 times.