In Office Hysteroscopies
Diagnosing and Treating Uterine Problems with Hysteroscopy
A diagnostic hysteroscopy is a procedure that allows a physician to see inside the uterus. In some cases, a hysteroscopy is also used to treat uterine problems. Your physician may perform a hysteroscopy if you experience any of the following conditions:
- Unusually heavy or long periods
- Bleeding between periods
- Postmenopausal bleeding
- Severe menstrual cramps
- The Diagnostic Hysteroscopy Procedure
A diagnostic hysteroscopy is done without incisions. At Advanced Women’s Health Specialists, our physicians perform this procedure in our office. Local anesthesia is used to numb the cervix and you may be advised to take ibuprofen an hour before. During a hysteroscopy, the cervix may be gently widened. Saline (salt water) is used to expand the uterus, creating a better view for the physician. The hysteroscope (a long, thin camera) is inserted into the cervix. This allows your doctor to look at images of the uterus on a video monitor or directly through the hysteroscope. This lets your physician see if you have any abnormal growths, scar tissue, hyperplasia (overgrowth of the uterine lining), polyps or cancer. Hysteroscopy can also locate a misplaced IUD. Sometimes, your physician will take a small sample of your uterine lining for testing purposes.
The Operative Hysteroscopy Procedure
Your physician may recommend an operative hysteroscopy if problems or growths are found. Removal of polyps is frequently performed in our office. To address other needs, your physician will perform an outpatient procedure at the hospital. You will be asked not to drink or eat anything after midnight the night before surgery. Local, regional (waist down) or general anesthesia is used. The cervix is dilated and your physician uses a specially designed hysteroscope and instruments to remove growths or repair problems in your uterus.
Most patients go home as soon as the anesthesia has worn off, however, we recommend that you have someone drive you home. During recovery, you may pass a small piece of tissue or blood clot and you may have bloody discharge for a few weeks. This is completely normal, however, if your bleeding gets worse, abdominal pain increases and/or you have a fever above 100.4⁰F, please call our office. Also, please avoid tampons, sexual intercourse and strenuous activity until your doctor says you may resume.
Hysteroscopy is a great help to many of our patients who struggle with menstrual problems, fibroids, infertility and miscarriage. Like any surgery, it carries some risks, which our physicians will discuss with you. For most patients, however, it is an excellent, minimally invasive solution.
We encourage our patients to be proactive about their gynecological and obstetrical health issues. If you struggle with heavy, unexplained bleeding, extreme cramps, infertility, miscarriage or other OB/GYN problems, our physicians can offer healthy solutions. To learn more about hysteroscopy, please call Advanced Women’s Health Specialists Lake Mary at 407-834-8111 or Advanced Women’s Health Specialists Deltona at 386-775-8484.
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