Top
30
Doctor insights on: Hysteroscopy

Share
Dr. Shiao-Yu Lee
343 Doctors shared insights

Hysteroscopy (Overview)

Hysteroscopy is a procedure utilizing a thin telescope with a light cord and camera attached to visualize the inside of the uterus. The scope is inserted through the vagina, into the cervix and then entered into the uterine cavity.


1

1
What's a hysteroscopy for?

What's a hysteroscopy for?

Uterine cavity: Hysteroscopy involves inspection of the uterine cavity using a fiber optic endoscope with access through the cervix. It allows for diagnosis of intrauterine disease and serves as a method for surgical intervention. ...Read more

Dr. Shiao-Yu Lee
343 Doctors shared insights

Hysteroscopy (Overview)

Hysteroscopy is a procedure utilizing a thin telescope with a light cord and camera attached to visualize the inside of the uterus. The scope is inserted through the vagina, into the cervix and then entered into the uterine cavity.


2

2
Why will the Dr do a hysteroscopy?

See the uterus: To directly visualized the lining of the uterus and possible biopsies and occasional treatment. ...Read more

3

3
Is it normal to need a hysteroscopy?

Is it normal to need a hysteroscopy?

Nope: Hysteroscopies aren't part of a well woman's exam. If your doctor recommends it, it's usually to address abnormal bleeding, a lost iud, or to evaluate for infertility. Now it's also used for permanent birth control. ...Read more

4

4
Anyone have perf with a hysteroscopy?

Anyone have perf with a hysteroscopy?

Uterine Perforation: It can happen but rarely if appropriate measures are taken. Ie - knowing the position, size, and shape of the uterus before inserting instruments (exam +/- ultrasound). Experienced gyn surgeons rarely perf a uterus and if it does occur, they can recognize it immediately. Midline perfs usually heal well, lateral trauma can damage blood vessels & need repair. So, it's uncommon but possible. ...Read more

5

5
What could cause pain after a hysteroscopy?

What could cause pain after a hysteroscopy?

Cramping/ gas?: If there is pain to the shoulder / upper abdomen this could be associated with gas introduced into the area during the hysteroscopy. Post operative cramping can also occur. ...Read more

6

6
Should I abstain from sex before a hysteroscopy?

Not necessarily: Depends in part on the reason for the hysterectomy, but generally this should not be a problem. ...Read more

7

7
What is the definition or description of: hysteroscopy?

Hysteroscopy: Hysteroscopy is a procedure utilizing a thin telescope with a light cord and camera attached to visualize the inside of the uterus. The scope is inserted through the vagina, into the cervix and then entered into the uterine cavity. ...Read more

8

8
How long does it take to recover from a hysteroscopy/d&c?

How long does it take to recover from a hysteroscopy/d&c?

1-2 days: The above procedure is usually done with a local block or light anesthetic. Barring complications, recovery is less than 24 hours with minimal spotting & cramping after. I usually prescribe Ibuprofen & tylenol (acetaminophen) following these & most patients do very well and return to work/school the next day. Take care. ...Read more

9

9
What kind of complications might happen from a hysteroscopy?

Hysteroscopy: The main complication of hysteroscopy is perforation of the uterus.
If the hysteroscopy is a lengthy one, there is the possibility of excessive absorption of the fluid necessary for distention of the uterus. If heat is used for certain treatment, there is the possibility of un-intentional burns. There are other complications common to all surgeries, such as infection, drug reaction, etc.. ...Read more

10

10
Hysteroscopy: does one need a few hours or a whole day of recovery time?

Hysteroscopy: does one need a few hours or a whole day of recovery time?

Few hours is fine: Simple hysteroscopy for essure placement, iud removal, polyp excision, or simple diagnosis requires very little recovery time if done under local. Most patients feel little discomfort (minor cramps) & can use advil or tylenol (acetaminophen) if needed. If done under general anesthesia, you may need 24 hours to recover from the anesthetic. ...Read more

11

11
I don't want to get a Hysterosalpingogarm, is there any other option for me? I've already had a hysteroscopy back in February.

Two options: Two options:
1: Laparoscopic surgery
2: Sonohysterogram with special fluid with air bubbles may be able to outline the tubes. But, similar to a hysterosalpingogram ...Read more

12

12
What are the risks involved in a hysteroscopy?

What are the risks involved in a hysteroscopy?

Overall very safe: A diagnostic hysteroscopy carries a small risk of uterine perforation, bleeding or infection. Operative hysteroscopy for removal of fibroids or an abnormal uterine septum (wall) carries a higher risk of perforation. ...Read more

13

13
Why would a 70 year female need a hysteroscopy?

Why would a 70 year female need a hysteroscopy?

Bleeding: Further defining the endocervical and endometrial cavities and directed biopies. ...Read more

14

14
Difference between laproscopy and hysteroscopy?

Difference between laproscopy and hysteroscopy?

It is where the telescope goes: Laparoscopy goes in the abdomen to look at the abdomen and the pelvis hysteroscopy looks inside the vagina the cervix and uterus. ...Read more

15

15
Can I exercise 6 days after hysteroscopy polypectomy?

Can I exercise 6 days after hysteroscopy polypectomy?

Yes: Start with mild exercise such as walking. If the activity induces bleeding, slow down or stop. ...Read more

16

16
Can I still have a baby if I had a hysteroscopy done?

Yes: As long as the hysteroscopy did not cause a complication or diagnose a problem like intrauterine adhesions or infection or blocked tubes that would prevent pregnancy without treatment. ...Read more

17

17
How long doe's it take recover from a d&c - hysteroscopy?

How long doe's it take recover from a d&c - hysteroscopy?

Couple days: This is usually done under light sedation or general anesthesia. It's a simple procedure and pain-wise, recovery is not too bad with mild cramps & spotting. If you need to recover from gen anesthesia, it may take 1-2 days. We sometimes also perform endometrial ablations if permanent sterilization has been done. This may eliminate bleeding & recovery is usually the same. Discuss it with your gyn. ...Read more

18

18
Do I have to see a specialist to get a hysteroscopy ordered?

Yes: A hysteroscopy may be indicated for a number of gynecologic complaints (abnormal bleeding, polyps, fibroids, lost iud, etc). A hysteroscopy can be performed in the clinic or in an operating room, depending on the physician and the problem being investigated. Most ob/gyn's perform hysteroscopy, and yes you would need to have an evaluation with your gynecologist to detemine that you need this exam. ...Read more

19

19
What is the difference between hysteroscopy and polypectomy?

What is the difference between hysteroscopy and polypectomy?

Hysteroscopy: Hysteroscopy is to introduce a thin scope into uterus through the vagina and cervix, so we can see the polyp in the cavity of the uterus. We then use a loop through the hysteroscope to shave off and retrieve the polyp. ...Read more

20

20
10 days ago I had d&c hysteroscopy and a polyp removed, now what?

Now what?: Depends on 1) why you had the surgery, 2) what you are trying to accomplish. If you had surgery for bleeding, you follow post-op instructions, and follow up with your surgeon in a few weeks. If you're trying to conceive you can ask your doctor; if this is what you are asking, we may be able to help some here. ...Read more

21

21
I had a hysteroscopy and am still bleeding five days later. Is this normal?

I had a hysteroscopy and am still bleeding five days later. Is this normal?

Could be: Light bleeding even five days after hysteroscopy is normal. However, if the bleeding requires pad change every hour or two, or if you have fever or pain, notify your doctor. ...Read more

22

22
How you know if durning hysteroscopy the uters wall get damage is any way to know?

Surgeon knows: The doctor that did the surgery would be well aware of any complication that occurred during hysteroscopy. After the procedure the doctor generally discusses the findings of the case with the patient. If you have further questions simply ask your surgeon. ...Read more

23

23
What does is mean when "a recent hysteroscopy has shown microglandular hyperplasia"?

What does is mean when "a recent hysteroscopy has shown microglandular hyperplasia"?

Benign: Pathologists use the term micro glandular hyperplasia to describe a benign change actually of the endocervix in response to Progesterone effects (birth control or depo). Many times during endometrial biopsy or curettage evaluation, fragments of endocervix are also present within the specimen for pathology evaluation. ...Read more

24

24
I am going to have hysteroscopy and d&c surgery in 2weeks. Why I am not allowed to wear even a little make up?

To see the real you: Your surgical team will only be able to monitor your condition optimally if they can see the color and condition of your nails and skin. If these are hidden by makeup or nail polish, it makes their job harder and can impair your safety during surgery and recovery. Hopefully, no one on your surgery team is going to be thinking about that level of your attractiveness. Later for that, ok? ...Read more

26

26
Do a hysteroscopy clean your tube?

No: Hysteroscopy is the direct inspection of the uterine cavity. The opening to the fallopian tubes would be visible, but the tubal lumen would not be fully examined and if blocked would not be opened. During the course of a hysteroscopy the fluid used to distend the uterine cavity may be flush through the tube clearing any mucous, but that would eventually re-accumulate. ...Read more

28

28
Will a hysteroscopy see if your tube have scarrs?

Hysteroscopy: If they are able to complete the whole exam they will be able to tell you if the path from ovaries, through tubes and into uterus is healthy and patent. ...Read more

29

29
Can you still get pregnant if you have a hysteroscopy?

Yes: Yes, particulary if the hysteroscopy is done just for taking a look. For operative hysteroscopy, the answer depends on the extent of surgery that has to be done. ...Read more

30

30
What are the chances of embolism or death in hysteroscopy?

Remote: Consult this site for more info and talk to your doctor.
https://www. Acog. Org/Patients/FAQs/Hysteroscopy
For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex, if you have sex. ...Read more