Hysteroscopy – Austra Health

Hysteroscopy is a minimally invasive procedure that allows doctors to look inside the uterus with a thin, lighted tube called a hysteroscope. With this procedure, providers can diagnose and treat various conditions that affect the uterus, such as abnormal bleeding, polyps, fibroids, and endometrial hyperplasia.

During a hysteroscopy, the hysteroscope is inserted through the vagina and into the uterus. The provider can then remove any abnormal tissues, such as polyps or fibroids, or perform treatments like endometrial ablation to stop excessive bleeding. The procedure can also be used to look for and remove any abnormalities in the fallopian tubes.

Hysteroscopy is a valuable tool in gynecology as it allows providers to get a closer look at the inside of the uterus and make more accurate diagnoses. With the help of the hysteroscope, doctors can take images and videos of the uterus for further examination. This procedure is typically performed on an outpatient basis and recovery time is minimal.

If you are experiencing abnormal uterine bleeding or have other symptoms related to the uterus, a hysteroscopy may be recommended by your healthcare provider. This procedure can provide valuable information and lead to appropriate treatment options to improve your reproductive health.

What is it used for

Hysteroscopy is a procedure that allows a healthcare provider to examine the inside of the uterus using a thin, lighted tube called a hysteroscope. This procedure is used to diagnose and treat various gynecological conditions.

During a hysteroscopy, the hysteroscope is inserted through the vagina and into the cervix, allowing the healthcare provider to look at the images of the uterus on a monitor. This procedure helps to identify any abnormalities, such as polyps, fibroids, or adhesions, which may be causing symptoms or fertility issues.

In addition to providing a visual examination, hysteroscopy can also be used to perform certain treatments. For example, during a hysteroscopy, a healthcare provider may remove polyps or fibroids, correct a septum, or remove adhesions. These treatments can help improve menstrual flow, alleviate pain, and enhance fertility.

Hysteroscopy is a minimally invasive procedure that can be performed on an outpatient basis, meaning that most patients can go home the same day. It is generally a safe procedure with few complications. However, as with any medical procedure, there are some risks involved, such as infection or injury to the uterus or surrounding organs. Therefore, it is important to discuss the potential benefits and risks with your healthcare provider before undergoing a hysteroscopy.

Why do I need a hysteroscopy

A hysteroscopy is a procedure that allows your healthcare provider to examine the inside of your uterus using a thin, lighted instrument called a hysteroscope. This procedure can provide valuable images that help diagnose and treat various uterine conditions.

Diagnosis of abnormal uterine conditions

If you have been experiencing abnormal uterine bleeding, such as heavy or irregular periods, your healthcare provider may recommend a hysteroscopy to investigate the cause of these symptoms. This procedure can help identify conditions such as fibroids, polyps, or adhesions in your uterus that may be causing the abnormal bleeding.

During a hysteroscopy, your healthcare provider can also check for any structural abnormalities in your uterus, such as a septum or an abnormal shape. These abnormalities can sometimes affect fertility or increase the risk of miscarriage, and identifying them through a hysteroscopy can help guide appropriate treatment.

Treatment of uterine conditions

In addition to diagnosis, a hysteroscopy can also be used to perform certain treatments. For example, if your healthcare provider discovers polyps, fibroids, or adhesions during the procedure, they may be able to remove them using specialized instruments passed through the hysteroscope. This can help alleviate symptoms and improve your chances of achieving pregnancy, if desired.

A hysteroscopy can also be used to open up blocked fallopian tubes. In a procedure called tubal cannulation, your healthcare provider can use the hysteroscope to guide a catheter through the cervix and into the fallopian tubes, allowing for the removal of any obstructions and increasing the chances of achieving pregnancy.

What happens during a hysteroscopy

A hysteroscopy is a procedure where a healthcare provider examines the inside of the uterus using a hysteroscope. A hysteroscope is a thin, flexible tube that has a light and a camera at the end, allowing the provider to see images of the uterus during the procedure.

Preparation

Before the hysteroscopy, the patient may be given medication to help relax and minimize discomfort. The provider will then insert the hysteroscope into the vagina and gently guide it through the cervix and into the uterus.

The procedure

During the hysteroscopy, the provider may perform various treatments or procedures based on the individual’s needs. These may include:

Removing abnormal growths or tumors from the uterus
Treating abnormal bleeding or heavy menstrual periods
Removing fibroids or polyps
Examining and potentially treating abnormalities in the fallopian tubes

The provider will use the hysteroscope to look inside the uterus and perform these procedures as necessary. They may also take biopsies or collect tissue samples for further examination.

Once the procedure is complete, the hysteroscope is carefully removed, and the patient can usually return home the same day. Recovery time and any necessary follow-up will vary depending on the specific treatment performed and the patient’s individual circumstances.

It’s important to note that hysteroscopy is a minimally invasive procedure.

Overall, a hysteroscopy allows the provider to visually assess the uterus and potentially treat various conditions, providing important insights for further management and care.

Will I need to do anything to prepare for the test

Before undergoing a hysteroscopy, your healthcare provider may give you specific instructions on how to prepare for the procedure. These instructions may include:

Removing any tampons, vaginal medications, or contraceptive devices such as intrauterine devices (IUDs) before the procedure.
Taking medications or antibiotics as prescribed by your healthcare provider to prevent any potential infections.
Informing your healthcare provider about any allergies or previous adverse reactions to medications or anesthesia.
Arranging for someone to drive you home after the procedure, as you may be under the influence of anesthesia or sedation.
Discussing any concerns or questions you may have about the procedure with your healthcare provider.

Preparing for a hysteroscopy is usually a straightforward process, and your healthcare provider will guide you through all the necessary steps to ensure your comfort and safety during the procedure.

Are there any risks to the test

Hysteroscopy is generally a safe procedure with minimal risks. However, as with any medical procedure, there are some potential risks to consider. These risks include:

Bleeding:

The procedure may cause some bleeding, although it is usually minimal. In rare cases, heavy bleeding may occur, which will require medical attention.

Infection:

There is a risk of infection after hysteroscopy. Your healthcare provider will take measures to minimize this risk, such as using sterilized instruments and maintaining a sterile environment during the procedure.

Uterine Perforation:

In very rare cases, the hysteroscope may accidentally puncture or perforate the uterus. This can lead to complications and may require additional treatment or surgery to repair.

Fluid Overload:

During the hysteroscopy procedure, a fluid called saline is used to expand the uterus and allow for better visualization. In rare cases, too much fluid may be absorbed into the bloodstream, leading to fluid overload. This can cause fluid accumulation in the lungs or other organs and may require treatment.

Adverse Reaction to Medication:

If medication is used for pain management or sedation during the procedure, there is a small risk of having an adverse reaction to the medication. Your healthcare provider will monitor you closely during the procedure to minimize this risk.

What do the results mean

After your hysteroscopy procedure, your healthcare provider will analyze the images and provide you with the results. The results will help your provider understand the condition of your fallopian tubes, uterus, and cervix. They will also determine if there are any abnormalities or problems that require further treatment or investigation.

If the results of your hysteroscopy show normal findings, it means that your uterus, cervix, and fallopian tubes are healthy and functioning properly. Your provider will discuss these results with you and may recommend regular monitoring or follow-up appointments to ensure your reproductive health remains optimal.

If the hysteroscopy reveals any abnormalities, such as polyps, fibroids, or scar tissue, your provider may recommend further treatment or interventions. These could include removing the abnormal growths or performing additional procedures to address any underlying issues. Your healthcare provider will guide you through the treatment options available and explain the potential risks and benefits of each.

Interpreting the images

The images captured during the hysteroscopy procedure will provide valuable information to your healthcare provider. They will carefully examine the images to look for any signs of abnormal growths, structural defects, or other issues. By analyzing these images, your provider can determine the appropriate course of treatment and help you understand your reproductive health.

Discussing the results with your healthcare provider

It is essential to have a discussion with your healthcare provider about the findings of your hysteroscopy. They will explain the results in detail, answer any questions you may have, and provide recommendations for further care or treatment if necessary. It’s important to be open and honest with your provider about your concerns and to follow their guidance to ensure the best possible reproductive health outcomes.

Remember that the results of your hysteroscopy are specific to your individual case. Your provider is the best resource to interpret your results and guide you through any necessary next steps.

Abnormal Result	Normal Result
If an abnormality is found during the hysteroscopy	If no abnormality is found during the hysteroscopy
Your provider may recommend further treatment or interventions	Your provider may recommend regular monitoring or follow-up appointments

Is there anything else I need to know about a hysteroscopy

During a hysteroscopy, your healthcare provider may remove abnormal tissues, such as polyps or fibroids, from your uterus. This can help improve your symptoms and fertility.

A hysteroscopy can also be used to diagnose and treat abnormal conditions in the uterus, such as endometrial hyperplasia or uterine adhesions. Your provider may take images or biopsies (small tissue samples) during the procedure to further evaluate any areas of concern.

In some cases, a hysteroscopy can be performed with a procedure called tubal cannulation to clear blockages in the fallopian tubes and increase the chances of pregnancy.

The procedure is typically done in an outpatient setting and you may be given anesthesia to help you relax or numb the area. It usually takes about 30 minutes to an hour to complete.

After the hysteroscopy, you may experience mild cramping or spotting for a few days. Your provider will give you specific instructions on how to care for yourself after the procedure.

If you have any concerns or questions about the hysteroscopy procedure, be sure to discuss them with your healthcare provider. They will be able to provide you with more information and address any concerns you may have.