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Hysteroscopy

What is Hysteroscopy?

Hysteroscopy is a medical procedure used to diagnose and/or treat problems of the uterus. It is the process by which a gynaecologist examines the health and functioning of a woman’s reproductive system. A small device, called a hysteroscope, is inserted through the uterus. It has a light and camera mounted on one side which enables the doctor to view the cervix and the uterus closely. 

Hysteroscopy is performed on an outpatient basis which means patients can go home on the same day of the procedure. Doctors prescribe undergoing this procedure to diagnose uterine fibroids, polyps, or scarring that cause abnormal uterine bleeding or underlying cause of multiple miscarriages, infertility or irregular periods. 

A hysteroscopy may involve some kind of surgery. 

need-of-hysteroscopy

Need for Hysteroscopy

  • Narrowing down the appropriate cause for abnormal uterine bleeding
  • Diagnosing reason for abnormal Pap test results
  • Finding factor for bleeding post-menopause
  • Inserting birth control into the fallopian tubes
  • Diagnosing cause of infertility or multiple miscarriages
  • Finding and removing displaced intrauterine devices
  • Removing small polyps, fibroids, or scar tissues in the uterus
  • Removing small tissue for biopsy
  • Removing endometrial lining

Types of Hysteroscopy

Diagnostic hysteroscopy

Diagnostic hysteroscopy

Operative hysteroscopy

Operative hysteroscopy

Diagnosis

If you are experiencing any one or a combination of the following symptoms, consider getting in touch with a gynaecologist. After an initial physical examination, the doctor may recommend undergoing a hysteroscopy. 

  • Heavy or irregular periods 
  • Bleeding after menopause 
  • Pain in the pelvic region 
Self-diagnosis of Hysteroscopy

Risks & Complications

If not performed by experienced and trained doctors, hysteroscopy can lead to the following risks and complications.

 

  • Bleeding and cramping- Vaginal bleeding is one of the most common side effects that occur after hysteroscopy. The bleeding can continue for at least 3-4 days after the procedure. 

 

  • Damage to urinary or digestive tract- Although rare, there can be some damage to the urinary/digestive system during operative hysteroscopy. 

 

  • Uterus perforation – When a surgical instrument enters the uterus, there is a mild likelihood of the uterus getting perforated. Generally, uterus perforations heal on their own whereas some perforation requires another surgical treatment.

 

  • Infection – It is possible for a hysteroscopy to cause an infection around the wounds, but the chances are very low.

 

  • Scar tissue – Several people have developed scar tissue as a side effect of hysteroscopy. This happens mostly if a D&C is performed along with a hysteroscopy after a miscarriage.

  • Myths and facts about Hysteroscopy

    Myths and facts about Hysteroscopy

    Myths and facts about Hysteroscopy
    • Myth 1: Hysteroscopy is a painful procedure.

    Facts-The fact is that the doctor administers anesthesia before hysteroscopy. Hence, the patient is unable to feel any pain. There can be some mild discomfort when the hysteroscope is inserted through the vagina, cervix, and into the uterus. It is advisable that if the patient experiences excessive pain during the procedure, she should inform the doctor or the nurse immediately.

     

    • Myth 2: Hysteroscopy is not safe to consider.

    Facts-Hysteroscopy is a safe procedure to consider for diagnosing or treating problems in the uterus. However, remember that with any medical procedure, there is a small risk of complications. These complications are common to occur and can be cured with some proper recovery tips prescribed by the doctor. Some of the complications that can occur after hysteroscopy include nausea or dizziness due to anesthesia, vaginal infections, cramping and mild vaginal bleeding. 

     

    • Myth 3: It is an expensive procedure to undergo.

    Facts-Hysteroscopy- either diagnostic or operative- is a cost-effective procedure as it prevents the condition from getting severe which may require additional treatment. If the doctor is able to diagnose properly as well as remove the fibroid or polyp in time during hysteroscopy, there is no need for additional procedure. Eventually, the patient isn’t required to spend any extra amount. 

     

    • Myth 4: I won’t be able to get pregnant after a hysteroscopy.

    Facts-In reality, several studies have confirmed otherwise. According to the authors of an observation study titled, “Hysteroscopy for treating suspected abnormalities of the cavity of the womb in women having difficulty becoming pregnant’, the pregnancy rate was high after removal of polyps, mucous-filled with fibroids, or uterine septum via hysteroscopy. 

     

    • Myth 5: Hysteroscopy is the only solution to cure infertility.

    Facts-Hysteroscopy is one of the several procedures that doctors rely on to dig out the underlying cause for infertility.  The procedure primarily aims at removing any obstruction in the uterus causing infertility. Depending on the particular cause of infertility, the doctor may or may not recommend undergoing a hysteroscopy. 

  • Unknown facts about Hysteroscopy

    Unknown facts about Hysteroscopy

    Unknown facts about Hysteroscopy
    • In 1869, Pantaleoni performed the first hysteroscopy successfully on a 60 year old lady.
    • In some cases of hysteroscopy in which doctors do not dilate the cervix, anesthesia may not be administered.
    • Doctors do not perform hysteroscopy in pregnant women or women suffering from pelvic infection, uterine or cervical cancer. 
    • Hysteroscopy is not an option in conditions such as obstruction in the uterine cavity, scarring or narrowing of the cervical opening, or unusual position of the uterus.

Questions to ask your doctor

Is hysteroscopy a painful procedure?
What kind of results should I expect after hysteroscopy?
Which type of hysteroscopy will I be undergoing- diagnostic or operative?
Can the hysteroscopy wait or is it needed right away?
What are the complications that can occur if the procedure is delayed?
What is the rate of complication for this procedure?
Do I need to undergo another hysteroscopy in the future?
What are the specific restrictions that I need to follow after hysteroscopy?
What is the eligibility criteria for undergoing a hysteroscopy?
How should I prepare for the procedure?
Can I get an estimated cost of the entire procedure?
Which type of anesthesia will be used for sedation?

Treatment Options & Cost

In India, the cost of hysteroscopy varies from INR to INR. The minimum cost one has to bear  for undergoing a hysteroscopy is INR and the maximum cost is around INR. Thus, the average cost of the procedure comes around INR. 

It is important to note here that the actual cost of the procedure differs from one person to another. The reason being that there are a couple of factors that come into play while deciding the total cost. These factors include-

  • Type of problem treated 
  • Anesthetist fees 
  • Surgeon’s consultation fees 
  • Post-surgery antibiotics and painkillers 
  • Type of hysteroscopy undergone 
  • Location of the clinic or hospital 
  • Additional procedure undergone along with hysteroscopy
Insurance coverage for Hysteroscopy

Insurance coverage

Hysteroscopy is one of the medical procedures that is not covered by most of the insurance companies in India. The health insurance companies in the country explain that this is an elective procedure which means that the patient chooses to undergo the same. In other words, it is not performed under emergency cases. Thus, most of the medical insurance companies do not offer any coverage for hysteroscopy.

Insurance coverage for Hysteroscopy
Recovery rate of Hysteroscopy

Recovery after Hysteroscopy

Recovery is an essential part of any treatment. You need to follow a set of post-operative instructions after the procedure to reduce the risk of any severe complications. Here are some pointers to keep in mind- 

  • Take complete rest for at least 24 hours after the procedure.
  • Drink 2 liters of water everyday to keep yourself hydrated. 
  • Eat fiber-rich food items to reduce the risk of constipation.
  • Take a bath or shower after proper consultation with the gynaecologist.
  • Wear loose-fitting clothing including undergarments to reduce sweating and consequently, chances of vaginal infection.
  • Refrain from indulging in sexual intercourse for at least a week after the surgery.
  • Avoid douching the vaginal area for at least two weeks after the hysteroscopy.
Recovery rate of Hysteroscopy

Latest Research

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    Hologic Expands its Omni® Hysteroscopy Offering in Europe

FAQ

Is hysteroscopy performed under anesthesia?

Yes, hysteroscopy is performed under the influence of anesthesia so that the patient feels no pain during the procedure. Depending on a couple of parameters such as severity of the condition, or physical condition of the patient, the anesthetist prescribes whether local or general anesthesia is to be administered.

What conditions can make hysteroscopy more difficult or impossible to perform?

Certain conditions may make hysteroscopy more difficult or impossible to perform:

 

  • abnormal position of the uterus
  • obstruction of the cervical canal or uterine cavity
  • scarring or narrowing of the cervical opening
When can I go home after a hysteroscopy?

You should be able to go home shortly after the procedure. If you had general anesthesia, you may need to wait until its effects have worn off.

Who performs a hysteroscopy?

A gynecologist performs a hysteroscopy.

Can I die during a hysteroscopy?

No. Hysteroscopy is a safe procedure with minor, short-term, side effects. But rarely, hysteroscopy can be life-threatening.

Does undergoing hysteroscopy affect fertility in women?

No. In contrast to this, hysteroscopy has helped several women conceive successfully after the procedure. Several research studies have confirmed that women who have undergone hysteroscopy to remove polyps in the uterus have higher chances of getting pregnant.

How long does it take to fully recover after hysteroscopy?

Generally, a patient is able to recover completely within 2-3 days of the procedure. However, this can vary depending on the severity of the condition and the physical condition of the patient. 

Does hysteroscopy affect menstrual cycle?

No. Hysteroscopy is performed by experienced doctors who ensure that none of the organs in the reproductive system gets damaged. Thus, the functioning of the reproductive organs, including menstrual cycle, remains unchanged.

Facts and statistics around Hysteroscopy:

Get in Touch With Our Experienced Gynaecologists anywhere in India To Know More About Hysteroscopy

 An integral part of ensuring that the problem in the uterus is cured for once and all is by choosing experienced doctors. We house some of the highly experienced gynaecologists who have successfully removed polyps or uterine fibroids with the help of a hysteroscope. Not only do they have years of experience but they also possess skills that ensure there is a minimum risk of any major complications. Our doctors have all the necessary skills and medical qualifications that make them experts in the field of Gynaecology. Furthermore, some of them have also been recognised by several medical associations for their outstanding career. 

 

Our Doctors Perform Minimally-Invasive Hysteroscopy With the Help of The Most Advanced Technology 

With the help of laparoscopic technology, our doctors perform hysteroscopy that guarantees the fastest path to recovery for patients. As the technology incurs minimum cuts or incisions thereby reducing chances of excessive bleeding, patients are able to recover much faster. Moreover, operative hysteroscopy performed with special instruments ensure maximum accuracy which minimizes the risk of any severe complications. Also as mentioned earlier, hysteroscopy is performed on an outpatient basis which means there is no need for hospitalization. Thus, reducing the overall cost of treatment. 


Why Choose Pristyn Care for Hysteroscopy?

Patients choosing to undergo diagnostic or operative hysteroscopy are provided with additional benefits such as- 

  • Dedicated medical coordinator assisting the patient throughout the patient journey for a seamless experience. 
  • Following all safety protocols in every operating room and clinic to reduce the risk of COVID-19 contamination. 
  • Offering a set of post-operative tips including diet charts to every patient for easy and smooth recovery. 
  • Assistance by our medical coordinators to arrange for payment options to finance the entire procedure.
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