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All You Need To Know About Hysteroscopy
Feb 2019
Dr. Rooma Sinha
MD, Senior Consultant Gynaecology, Laparoscopic & Robotic Surgeon, Apollo Health City, Hyderabad

Hysteroscopy is now an integral part of evaluation for abnormal uterine bleeding and infertility. It is a technique to diagnose as well as treat intrauterine problems. It involves introducing a telescope inside the uterus. After distension of uterine cavity is done with fluid distension medium for adequate visualization, other distending fluids like normal saline or Glycine are used. This helps in inspecting the uterine cavity for abnormalities and if present, it can be treated immediately in the same sitting. Usually, it is scheduled in the first week after the menstrual period as at this time the doctor can have the best view. A combined procedure along with laparoscopy is recommended for infertility or when operative hysteroscopy surgeries are being done.

When Does A Doctor Suggest Hysteroscopy?

  •  Abnormal bleeding in women - Heavy bleeding, irregular bleeding or reduced bleeding or secondary amenorrhea
  •  Recurrent pregnancy failure or difficulty in subsequent conception after MTP or D&C or IUCD use
  •  Unexplained infertility
  •  Before IVF
  •  Postmenopausal bleeding
  •  Abnormality detected on Ultrasound

What To Expect When You’re Advised Hysteroscopy?
The procedure is performed in the Operation Theatre with or without anaesthesia, and can take anywhere from 5 minutes to 30 minutes, depending on what is being done. It is usually done as a day care procedure, and at time may be done along with a laparoscopy depending on the requirement. Hysteroscopy does not need any pre-operative preparation as it’s a minor surgery. Some general blood tests are recommended to check if the woman has no other health issues that can cause complications, and is fit to undergo the surgery with anaesthesia.