Hysteroscopy is a very fine telescope that is introduced through the cervix (neck of the womb). This allows the gynaecologist to see inside the uterus (womb), an examination called a hysteroscopy.
This operation is performed to diagnose or treat:
Usually a hysteroscopy is done as a day case. If Miss Husain anticipates any possible difficulty with the anaesthetic, she will suggest that you have an overnight stay. You will not need more than a couple of days off work. Miss Husain must be told if you are on any regular medication, have any known allergies and had any problems with anaesthesia in the past. If you are using the oral contraceptive pill, please continue with this.
Please ensure that you do NOT have unprotected intercourse in the cycle that you are scheduled for the procedure.
If you suspect that you may be pregnant, please inform the staff on arrival to the ward.
The operation is done through the vagina and leaves no scarring. Once in the operating theatre your legs will be placed in stirrups (called the lithotomy position) to allow the procedure to be carried out.
A speculum is inserted in the vagina so the cervix can be seen clearly. The cervix is then stretched with a small instrument called a dilator. The hysteroscope is then inserted through the cervix and the cavity of the uterus is then stretched open using fluid (usually saline) so that its shape and appearance can be examined. A sample of tissue is taken from the endometrium (lining of the womb) for examination under a microscope. This involves scraping the lining gently using an instrument known as a curette. Any polyps protruding from the endometrium can also be removed (polypectomy).
Polyps with a wide base or fibroids can also be removed (resection), if they protrude into the cavity of the uterus, using a special hysteroscope, called a resectoscope.
Resection can also be used to cut away a septum, which is like a wall of tissue down the middle of the womb which can be associated with recurrent miscarriage.
Hysteroscopy is a very safe operation, but every operation carried a small risk:
Before the operation you must NOT eat any food (including sweets and gums) for 6 hours before your operation. You are allowed to drink clear fluids (water) up to 4 hours before your operation.
There are very few problems after a hysteroscopy and endometrial biopsy as it is such a short operation. A period- like pain may be experienced for a day or two. Some bleeding and vaginal discharge can last up to 10 days. It is advisable NOT to use tampons during this time.
For period-like cramps, a mild painkiller such as Paracetamol or Ibuprofen should suffice. Return to normal activities is usually after 48 hours. Unless Miss Husain advises otherwise, sexual activity can resume when you’re ready. You may bath and shower as usual.
Miss Husain will tell you about your operation and what was found before you are discharged. If a biopsy has been taken it may take 2 weeks for the results to become available. Miss Husain will review the results and discuss this with you at your follow up appointment.
It is advisable NOT to drive for 48 hours post procedure as your concentration may be impaired.
￼Please inform Miss Husain via her secretary if you feel any of the following symptoms: