Hysteroscopy Procedure

In a hysteroscopy, a viewing instrument called a hysteroscope is inserted into the uterus, through the vagina and cervix. Hysteroscopy is used both for finding and treating conditions of the uterus.
A common reason for a hysteroscopy is to find the reason for and to treat abnormal menstrual bleeding. Severe bleeding may be caused by fibroids, which can lead to anemia if untreated. These can be found and removed using hysteroscopy. A hysteroscopy can also be useful for:
If you can become pregnant, you should have your hysteroscopy between your menstrual period and next ovulation, to be sure that you aren't pregnant during the procedure. Hysteroscopy is performed in a hospital as an outpatient procedure (you usually will not need to spend the night), but you may be given any type of anesthesia: general, regional or local. The type of anesthesia you have will affect your preparation.
The procedure begins with the opening of your vagina with a speculum, making it easier to move the hysteroscope through your cervix and into your uterus. The hysteroscopy itself takes about a half hour, although if treatments are involved the entire procedure may be longer. Fluid or gas may be inserted into the uterus so the doctor can see it better. If treatment is being done, surgical instruments can be inserted through the hysteroscope.
After the procedure you will stay in a recovery room from 1 to 4 hours. Your recovery will be affected partly by the type of anesthesia you have received. With general anesthesia, you may be groggy, dizzy or nauseous for up to a few days. You may also have a sore throat if a breathing tube was inserted during the procedure. The recovery should be briefer after a local anesthetic.
You may have a small amount of vaginal bleeding for a day or so after your hysteroscopy, and/or some mild abdominal pain. Your doctor will discuss with you how long you must wait before resuming normal activity, exercise, sexual intercourse, and the use of tampons or douches. Be sure to follow instructions.
There are several conditions which might delay or prevent having a hysteroscopy. These include:
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