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A hysteroscopy is a procedure in which your hysteroscopic doctor inserts a device into your uterus. This device of rather small dimensions has a light and a tiny camera to allow the doctor to see inside your uterus.
In a laparoscopic myomectomy, the best laparoscopic hysterectomy surgeons access and remove fibroids through some small incisions. Hysteroscopic surgery helps infertility management by using a hysteroscope to visualize and treat intrauterine abnormalities such as fibroids, polyps, adhesions, or septum, which can hinder implantation and pregnancy.
There are several cases in which your doctor may recommend this procedure. It can be recommended for either surgical or diagnostic purposes. It may be performed:
1) For visual confirmation of another test result
2) To aid in the removal of fibroids and polyps
3) In conjunction with a laparoscopic procedure
4) Before a dilation and curettage procedure
5) To discover any malformation of the uterus
1) Heavy bleeding
2) Fever
3) Chills
4) Severe pain
As a most fortuitous timing, the doctors usually schedule the hysteroscopy after or around the first week of the menstrual period. However, in cases of post-menopausal patients, hysteroscopy is also suggested to treat unexplained pain, bleeding and spotting.
Although many diagnostic advantages are associated with hysteroscopy, it may not be appropriate for all patients. A doctor who specializes in this procedure will consult with your general physician to determine if you are the right candidate for the procedure.
Compared with other, more invasive procedures, hysteroscopy may provide the following advantages:
1) Shorter hospital stay
2) Shorter recovery time
3) Less pain medication needed after surgery
4) Avoidance of hysterectomy
5) Possible avoidance of “open” abdominal surgery
After successful myomectomy surgery, most women find respite from severe menstrual pain, excessive bleeding, pelvic pain and so on.
If local or general anaesthesia is used during your hysteroscopy, you may have to undergo observations for several hours before going home. After the procedure, you may have cramping or slight vaginal bleeding for one to two days. In addition, you may feel shoulder pain if gas was used during your hysteroscopy. It is also not unusual to feel somewhat faint or sick. However, if you experience any of the following symptoms, be sure to contact your doctor:
1) Fever
2) Severe abdominal pain
3) Heavy vaginal bleeding or discharge
Talk to Dr Sukhamoy Barik, the best Gynecologist in Kolkata, to clear your doubts and decide the best treatment options.
Hysteroscopic surgery is a minimally invasive procedure where a thin, lighted camera called a hysteroscope is inserted through the vagina and cervix to view and treat conditions inside the uterus—without any external cuts.
It can diagnose and treat:
1. Uterine polyps
2. Fibroids (submucous)
3. Uterine septum
4. Abnormal bleeding
5. Adhesions (Asherman’s syndrome)
6. Retained products of conception
7. Infertility-related abnormalities
Most women experience minimal discomfort because the procedure is done under local anesthesia, sedation, or short general anesthesia. Pain is usually mild afterward.
A typical hysteroscopic surgery lasts 15–45 minutes, depending on the condition being treated.
Recovery is quick. Most patients:
1. Return home the same day
2. Resume normal activities within 24–48 hours
3. Experience light spotting for a few days
Yes, hysteroscopy is considered very safe, with a low risk of complications. Rare risks include infection, bleeding, perforation of the uterus, or fluid imbalance.
Yes. Removing polyps, fibroids, adhesions, or septum can significantly improve fertility and IVF success, and reduce miscarriage risk.
Hysteroscopy is not recommended for:
1. Pregnant women
2. Women with active pelvic infections
3. Patients with certain uterine abnormalities requiring alternative surgery