Hysteroscopy: A Process of Diagnosing Abnormal Bleeding Inside Uterus

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A hysteroscopy is a procedure to allow the doctor to examine inside the uterus. It is used to find the cause of abnormal bleeding.

 

A hysteroscope is a thin, telescope-like instrument that is inserted into the uterus through the vagina and cervix, to examine the cervix and the uterus.

 

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What are the Types Of Hysteroscopy?

 

The procedure can be of two types either diagnostic or operative.

 

1. Diagnostic Hysteroscopy

Diagnostic hysteroscopy is used to diagnose the problems inside the uterus. It is also used to confirm the results of other tests, such as hysterosalpingography (HSG). Hysteroscopy can be used with other procedures, such as laparoscopy, Diagnostic hysteroscopy can be used to diagnose the cause of certain situations like abnormal uterine bleeding, infertility, multiple miscarriages, adhesions, fibroid tumors, polyps.

 

 

2. Operative Hysteroscopy

This is used to treat an unusual condition that has been diagnosed during a diagnostic hysteroscopy. If there is any problem diagnosed during the diagnostic hysteroscopy, an operative hysteroscopy can be done at the same time, to avoid the second surgery. The hysteroscope is sometimes used with the resectoscope to treat some cases of abnormal bleeding.

 

 

 

 

What is the Use of Operative Hysteroscopy?

 

Following are some of the uses of operative hysteroscopy are:

 

1. Polyps and Fibroids:

Polyps and fibroid inside the uterus are removed.

 

2. Adhesions:

Uterine adhesions are bands of scar tissue that can create inside the uterus and can cause to the changes in menstrual flow and infertility as well. The procedure can help the doctor to locate adhesions and remove it.

 

3. Septums:

The procedure can help to determine the presence of Septem, a defect of the uterus since birth.

 

4. Abnormal Bleeding:

The procedure can help in finding the cause of heavy or lengthy menstrual flow.

 

 

 

What is the Procedure of Hysteroscopy?

 

Following is the process of this procedure;

 

  • The doctor will expand the cervix with a speculum like a gynecological exam.

 

  • The device used in this method will inserted to the vaginal opening, and continue moving in the cervix and then the uterus.

 

  • A liquid or carbon dioxide gas whatever is used by the doctor will be sent into the uterus through the device to clear the surface.

 

  • The hysteroscope with the light and camera on the end of it, allow seeing the uterus and fallopian tubes. After this doctor would able to diagnose any issues or to perform any surgical procedures necessary.

 

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What are the Risks of Hysteroscopy?

 

This process is safe but, there are some risks of complications. The main risks associated with the procedure are:

 

1. Accidental Damage to the Womb

 

This is not so common but may require treatment with antibiotics or, in very rare cases, another operation to repair it.

 

 

2. Accidental Damage to the Cervix

 

Damage to the cervix can easily be treated by medicines.

 

 

3. Excessive Bleeding During or After Surgery

 

This can happen if the treatment is under general anesthetic and can be treated with medication or another procedure.

 

 

4. Infection of the Womb

 

This may lead to smelly vaginal discharge, a fever and heavy bleeding can be treated with a short course of antibiotics.

 

 

5. Feeling Faint

 

This affects 1 in every 200 women who have carried out this process without an anesthetic or just a local anesthetic.

 

 

 

Conclusion:

 

Here we have discussed hysteroscopy, the doctor may recommend you this process for several different causes. The risks associated with it is very low. But you should still discuss to your doctor about the procedure and the risk of it.

 

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