HYSTEROSCOPY LÀ GÌ

Hysteroscopy is a procedure that allows your doctor khổng lồ look inside your uterus in order khổng lồ diagnose và treat causes of abnormal bleeding. Hysteroscopy is done using a hysteroscope, a thin, lighted tube that is inserted into lớn the vagina lớn examine the cervix and inside of the uterus. An operative sầu hysteroscopy can be used to remove sầu polyps, fibroids và adhesions.

Overview

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Hysteroscopy examining a uterine polyp

What is a hysteroscopy?

Hysteroscopy is a procedure that can be used lớn both diagnose and treat causes of abnormal bleeding. The procedure allows your doctor to look inside your uterus with a tool called a hysteroscope. This is a thin, lighted tube that is inserted inkhổng lồ the vagina lớn examine the cervix và inside of the uterus. Hysteroscopy can be a part of the diagnosis process or an operative sầu procedure.

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What is diagnostic hysteroscopy?

Diagnostic hysteroscopy is used lớn diagnose problems of the uterus. Diagnostic hysteroscopy is also used to lớn confirm results of other tests, such as hysterosalpingography (HSG). HSG is an X-ray dye chạy thử used khổng lồ check the uterus and fallopian tubes. Diagnostic hysteroscopy can often be done in an office setting.

Additionally, hysteroscopy can be used with other procedures, such as laparoscopy, or before procedures such as dilation and curettage (D&C). In laparoscopy, your doctor will insert an endoscope (a slender tube fitted with a fiber optic camera) into your abdomen to view the outside of your uterus, ovaries and fallopian tubes. The endoscope is inserted through an incision made through or below your navel.

What is operative hysteroscopy?

Operative sầu hysteroscopy is used to lớn correct an abnormal condition that has been detected during a diagnostic hysteroscopy. If an abnormal condition was detected during the diagnostic hysteroscopy, an operative hysteroscopy can be performed at the same time, avoiding the need for a second surgery. During operative hysteroscopy, small instruments used to correct the condition are inserted through the hysteroscope.

When is operative sầu hysteroscopy used?

Your doctor may perform hysteroscopy to lớn correct the following uterine conditions:

Adhesions: Also known as Asherman’s Syndrome, uterine adhesions are bands of soto tissue that can size in the uterus & may lead khổng lồ changes in menstrual flow as well as infertility. Hysteroscopy can help your doctor locate and remove sầu the adhesions.Septums: Hysteroscopy can help determine whether you have a uterine septum, a malformation (defect) of the uterus that is present from birth.

When should hysteroscopy be performed?

Your doctor may recommkết thúc scheduling the hysteroscopy for the first week after your menstrual period. This timing will provide the doctor with the best view of the inside of your uterus. Hysteroscopy is also performed lớn determine the cause of unexplained bleeding or spotting in postmenopausal women.

Who is a candidate for hysteroscopy?

Although there are many benefits associated with hysteroscopy, it may not be appropriate for some patients. A doctor who specializes in this procedure will consult with your primary care physician lớn determine whether it is appropriate for you.

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Procedure Details

How is hysteroscopy performed?

Prior to lớn the procedure, your doctor may prescribe a sedative sầu lớn help you relax. You will then be prepared for anesthesia. The procedure itself takes place in the following order:

The doctor will dilate (widen) your cervix lớn allow the hysteroscope lớn be inserted.The hysteroscope is inserted through your vagina và cervix into lớn the uterus.Carbon dioxide gas or a liquid solution is then inserted inlớn the uterus, through the hysteroscope, lớn expvà it và khổng lồ clear away any blood or mucus.Next, a light shone through the hysteroscope allows your doctor to lớn see your uterus and the openings of the fallopian tubes into lớn the uterine cavity.Finally, if surgery needs to lớn be performed, small instruments are inserted inlớn the uterus through the hysteroscope.

The time it takes khổng lồ persize hysteroscopy can range from less than five minutes lớn more than an hour. The length of the procedure depends on whether it is diagnostic or operative and whether an additional procedure, such as laparoscopy, is done at the same time. In general, however, diagnostic hysteroscopy takes less time than operative.


Risks / Benefits

What are the benefits of hysteroscopy?

Compared with other, more invasive procedures, hysteroscopy may provide the following advantages:

Shorter hospital stay.Shorter recovery time.Less pain medication needed after surgery.Possible avoidance of "open" abdominal surgery.

How safe is hysteroscopy?

Hysteroscopy is a relatively safe procedure. However, as with any type of surgery, complications are possible. With hysteroscopy, complications occur in less than 1% of cases and can include:

Risks associated with anesthesia.Infection.Heavy bleeding.Injury khổng lồ the cervix, uterus, bowel or bladder.Intrauterine scarring.Reaction to lớn the substance used khổng lồ expand the uterus.

Recovery and Outlook

What can I expect after hysteroscopy?

If regional or general anesthesia is used during your hysteroscopy, you may have sầu khổng lồ be observed for several hours before going trang chủ. After the procedure, you may have some cramping or slight vaginal bleeding for one lớn two days. In addition, you may feel shoulder pain if gas was used during your hysteroscopy. It is also not unusual khổng lồ feel somewhat faint or sick. However, if you experience any of the following symptoms, be sure to tương tác your doctor:

Severe abdominal pain.Heavy vaginal bleeding or discharge.

Will I have sầu lớn stay in the hospital overnight after hysteroscopy?

Hysteroscopy is considered minor surgery and usually does not require an overnight stay in the hospital. However, in certain circumstances, such as if your doctor is concerned about your reaction to lớn anesthesia, an overnight stay may be required.


Additional Details

What type of anesthesia is used for hysteroscopy?

Anesthesia for hysteroscopy may be local, regional or general:

Local anesthesia: The numbing of only a part of the toàn thân for a short time.Regional anesthesia: The numbing of a larger portion of the body toàn thân for a few hours.

The type of anesthesia used is determined by where the hysteroscopy is khổng lồ be performed (hospital or doctor’s office) & whether other procedures will be done at the same time. If you are having general anesthesia, you will be told not lớn eat or drink for a certain amount of time before the hysteroscopy.