Hysteroscopy why and how ?
In our modern-day lifestyles, it has become increasingly common for individuals to experience various diseases and complications. Unfortunately, women are not immune to this epidemic either. We can observe a noticeable increase in the number of women encountering problems like abnormal bleeding and severe cramping. While it is true that these issues can stem from factors beyond our lifestyles, it is crucial to address and treat such problems. That’s where hysteroscopy comes into play. By considering hysteroscopy, we can take a proactive approach to managing and resolving these concerns.
What is Hysteroscopy and Why is it Done?
Hysteroscopy provides doctors with a closer examination of the cervix and uterus to identify any underlying issues. It is a procedure that enables a detailed inspection of these reproductive organs.
Many women today experience problems such as abnormal bleeding and severe cramping. If you’re one of them, undergoing a hysteroscopy can provide valuable insights into your reproductive health and lead to improved treatment.
There are several situations where a hysteroscopy may be necessary. If you’ve received abnormal Pap results, have fibroids or scarring in your uterus, or if your intrauterine device (IUD) has shifted out of position, a hysteroscopy may be recommended. Additionally, if you’ve had multiple miscarriages or faced difficulties with pregnancy, this procedure can help your doctor identify and address the underlying issues.
Moreover, if your doctor needs to obtain a biopsy, a small tissue sample, of your uterine lining for closer examination, a hysteroscopy may be performed. This procedure involves the use of a hysteroscope, a thin tube with a small light on the front end. There are different types of hysteroscopy that you may need to undergo, depending on your specific circumstances.
Types of Hysteroscopy
Hysteroscopies are basically of two types: Diagnostic and operative.
Diagnostic hysteroscopy is a procedure aimed at identifying issues within the uterus and validating the results of other tests. It is often performed alongside other procedures such as laparoscopy or dilation and curettage (D&C). On the other hand, operative hysteroscopy involves addressing the problems detected during the diagnostic hysteroscopy through surgical intervention. It is conducted following the diagnostic procedure and typically requires additional time for completion.
What is the Step by Step Procedure of Hysteroscopy?
Step 1:
To ensure your comfort and manage any potential pain, the doctor will prescribe a sedative and may administer anesthesia if necessary.
Step 2:
With your comfort in mind, the doctor will insert a tool called Sim’s Speculum into your cervix. This allows for better visibility and a clearer view of the area.
Step 3:
The cervix will be dilated using Cervical Dilators, creating a smooth and unobstructed pathway to the fallopian tubes and uterus. This step minimizes the risk of cervical injury.
Step 4:
Once there is sufficient space, the hysteroscope, a thin tube, is gently inserted through the vagina and into the uterus.
Step 5:
A liquid solution is then injected to expand the uterus and remove any mucus or blood present, providing a clearer view.
Step 6:
With the hysteroscope in place, the doctor utilizes the light at its tip to examine the uterine lining and assess the opening of the fallopian tubes for accurate diagnosis.
Step 7:
If it is an operative hysteroscopy, small instruments are inserted through the hysteroscope to perform necessary procedures within the uterus.
The duration of the procedure can vary, typically ranging from a few minutes to a couple of hours. Diagnostic hysteroscopy is usually a quick procedure, while the inclusion of other procedures like laparoscopy may extend the overall process.
Is a Hysteroscopy Painful?
While hysteroscopy can be associated with discomfort, measures are taken to minimize pain during the procedure. The initial step involves administering a relaxing sedative or anesthesia to the doctor to ensure that any potential pain is alleviated. This helps in numbing your body and making you less aware of the sensations.
The level of pain experienced during hysteroscopy depends on the type of anesthesia employed. General anesthesia will keep your entire body numb throughout the procedure. Regional anesthesia will numb a larger portion of your body that is likely to be affected for a few hours. Local anesthesia, on the other hand, targets a smaller area of the body for a shorter duration.
It is crucial to entrust the procedure to an experienced doctor who will have the knowledge and expertise to determine the appropriate anesthesia if needed. This ensures that you encounter the minimum amount of pain possible during the hysteroscopy.
What are the Risks of Hysteroscopy?
Inadequate adherence to sterile precautions during hysteroscopy can lead to signs of infection, such as intrauterine scarring and pelvic inflammatory disease. Additionally, some individuals may have negative reactions to the anesthesia or the liquid used during the procedure. It is important to arrange for someone to drive you home afterward, as the anesthesia can cause drowsiness and impair your ability to drive.
While rare, there is a possibility of damage to the cervix or nearby organs such as the bowel, bladder, or ovaries. Mild cramping and bleeding for a couple of days are common after-effects.
However, these risks can be mitigated through careful precautions. It is crucial to have a detailed discussion with your experienced and trusted doctor, who can understand your specific case and provide personalized preparations, preventive measures, and post-procedure precautions for hysteroscopy. Despite the potential risks, hysteroscopy offers significant benefits, including avoiding more invasive procedures like hysterectomy or open abdominal surgery. Furthermore, hysteroscopy is a minimally invasive procedure that requires less hospital stay and shorter recovery time compared to major surgical interventions.
The Bottom Line
Although there are certain risks associated with hysteroscopy, it remains a crucial procedure for women experiencing abnormal bleeding and related issues.
It is important to emphasize the significance of selecting a skilled and experienced female doctor who can provide immense support. Such a doctor will not only perform the procedure proficiently but also prioritize your comfort throughout the process. With her expertise and knowledge, she will assist in effectively addressing your concerns and improving your overall well-being. This will enable you to lead a healthier and complication-free life.
Dr. B. Kiranmayee is Gynecologist specializing in women’s reproductive health and has extensive knowledge and experience in diagnosing and treating.
