the development of hysteroscopy has allowed medical experts to deal with the reproductive health of a woman with greater control and skill. the term hysteroscopy refers to the process of inserting a tube, called a hysteroscope, into a female’s vagina in order to obtain a clear image of the female’s uterus. hysteroscopes are thin, flexible tubes that contain light and a camera at one end, and are inserted into the vaginal canal. a monitor displays the image of the uterus as the hysteroscope moves through the uterus, from the vagina to the cervix to the uterus.
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your physician may ask you to place a vaginal medicine the night before your procedure. it is called cytotec or misoprostol, and it helps soften the cervix. depending on your doctor, you may be prescribed a sedative or painkiller before the procedure.
a hysteroscope is inserted through the vagina and into the opening of the uterus, called the cervix, on the day of the procedure. a small amount of saltwater is used to aid in seeing the uterine cavity and the openings to the tubes after the lens has been inserted in the uterus. your doctor may be able to discover the reason for abnormal bleeding once inside the uterus. it may be possible for your doctor to perform minor procedures on you, such as removing a polyp or placing the essure microinsert, which is a permanent form of contraception.
what happens after the hysteroscopy?
after the hysteroscopy surgery, you will be able to go home. in order to prevent bacterial growth, your vagina should be kept clean for two weeks (no sexual intercourse, tampons, or douching).
it may be necessary to dilate the cervix or open it wider. this eases the passage of the hysteroscope. you may experience minor cramping, bleeding, or discharge.
two weeks after the procedure, your doctor may schedule a follow-up appointment with you. in case of any complications after the procedure but before your next appointment, please contact your doctor. the following problems should be reported to your doctor:
the medications we recommend do not relieve severe pain.
high body temperature of more than 100.4°f.
bleeding lasts longer than a period when you are not expecting your period.
foul-smelling discharge from the vaginal area.
what can you expect?
you can expect:
during the procedure, you may feel sleepy if you are given general anesthesia.
upon recovering from this procedure, you should be able to resume your usual activities within a few hours or one or two hours.
your doctor can tell you when it is safe to resume a normal diet.
for a day or two, you might experience uterine cramps, which can usually be managed with over-the-counter pain medications.
there is a possibility of spotting or minimal-to-moderate vaginal bleeding.
it is possible to feel gaseous distension and pain in your belly or shoulder for up to 24 hours following the procedure due to the gas used during the procedure. some painkillers can relieve the pain.
follow the instructions provided by your doctor.
your doctor may recommend pain relievers for your soreness.
you should avoid aspirin and some other medicines in case you bleed.
for the next two weeks, do not douche with water or have sex.
avoid tampons for a few weeks.
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