Hysteroscopy
What is a hysteroscopy?
A hysteroscopy is a procedure to look at the
inside of the uterus (womb) using a small telescope (hysteroscope).
It is common for a biopsy to be performed at the same time (which
involves removing a small piece of the lining of the womb).
A hysteroscopy is good for finding out the
cause of abnormal bleeding from the womb, especially heavy periods
and bleeding after the menopause. It will help to find out if you
have fibroids, polyps, endometrial cancer or an abnormally-shaped
womb.
Are there any alternatives to a hysteroscopy?
It may be appropriate to try and find the cause
of your symptoms using a scan and by performing a biopsy using a
small tube placed through the cervix (neck of the womb).
What does the procedure involve?
A hysteroscopy can be performed under local or
general anaesthetic. Sometimes the procedure can be performed in
the outpatient clinic without any anaesthetic.
A hysteroscopy is usually performed in less
than ten minutes. Your surgeon will pass the hysteroscope along
your vagina, through your cervix and into your womb. They will
inflate your womb using gas (carbon dioxide) or a fluid, so they
can have a clear view. They can use instruments to perform a biopsy
or remove polyps and small fibroids (see figure 1).
Figure 1 - A hysteroscope is passed into the womb to
allow the
surgeon to examine the lining of the womb.
What complications can happen?
- Pain
- Sickness or feeling sick
- Bleeding
- Infection
- Blood clots
- Making a hole in the womb with possible
damage to a nearby structure
- Failed procedure
How soon will I recover?
You should be able to go home the same day. A
member of the healthcare team will tell you what was found during
the hysteroscopy and will discuss with you any treatment or
follow-up you need.
Most women are able to return to normal
activities the day after the procedure. You may experience some
period-like cramps and mild bleeding.
Summary
A hysteroscopy is usually a safe and effective
way of finding out if you have a problem with your womb and, in
some circumstances, treating your symptoms.
Acknowledgements
Author: Mr Jeremy Hawe MBChB MRCOG
Illustrations: Hannah Ravenscroft RM
This document is intended for information purposes only and should
not replace advice that your relevant health professional would
give you.
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