Doctor insights on:
Pain After 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
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
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
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
I don't want to get a Hysterosalpingogarm, is there any other option for me? I've already had a hysteroscopy back in February.
Yes: Start with mild exercise such as walking. If the activity induces bleeding, slow down or stop. ...Read more
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
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
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
Polyps can be seen via a hysteroscopy, and a D&C can certainly remove some. In doing the D&C, sometimes the polyp is not removed (after the hysteroscopy is finished, the D&C is essentially a blind procedure). If you continue to have bleeding, you may need another attempt at polyp removal.
There was no actual question asked, so you might need to be more specific. ...Read more
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
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
My wife aged 40 years had hysteroscopy and d&c. The report is as follows: sp1 endometrium is in early secretory phase?
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
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
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