What is a Hysteroscopy and Why Might I Need One?
When you have unusual bleeding from the uterus and vagina, the team at ThriveOB and Women's Wellness in Barrington, Illinois, may recommend a hysteroscopy as a diagnostic step to further explore the reasons behind abnormal bleeding.
It can also be used to remove growths that contribute to your bleeding condition. Hysteroscopy is a minimally invasive surgical procedure because no incisions are required.
Let’s take a closer look at the hysteroscopy procedure, its scope, and the reasons why you may need one.
What is a hysteroscopy?
A surgical procedure that lets our gynecologist, Dr. Jennifer Moreira, examine the cervix and uterus visually through a thin and flexible device with its own light source. As well as simple visual assessment of cervical and uterine tissue, hysteroscopy is also used for:
- Biopsy: the surgical removal of tissue samples for further testing
- Growth removal: including uterine fibroids or polyps
- Removal of the uterine lining: a permanent solution for abnormal bleeding after the childbearing years, like endometrial ablation
Hysteroscopy can be done in-office, with or without local anesthetic. More complex procedures may be performed in operating rooms under general or regional anesthetics.
Why might I need a hysteroscopy?
Hysteroscopy is often the next step in diagnosis after discussing your symptoms with Dr. Moreira, a physical exam, and/or test results. You may have experienced:
- Abnormal uterine bleeding
- Bleeding after menopause
- Follow-up after abnormal Pap test results
- Diagnosis of infertility problems
- Investigating the cause of multiple miscarriages
- Removal of retained pregnancy tissue
- Diagnosis and removal of uterine fibroids, polyps, or scarring
- Treating a uterine septum
- Removing out-of-place intrauterine devices (IUDs)
- Retrieving biopsy samples
- Removal of the uterine lining
Hysteroscopies can’t be performed on pregnant women. There may be other conditions or symptoms for which Dr. Moreira may recommend a hysteroscopy.
What to expect during the procedure
Hysteroscopies are often performed in an outpatient setting, though they may be necessary when you’re hospitalized for related conditions. The general procedure typically includes these steps:
- Surgical preparation: including an intravenous (IV) line if essential and antiseptic cleaning of the vaginal area
- Anesthetic and possibly sedation: as needed, depending on your condition and the procedure
- Cervical dilation may be performed to aid the procedure
- Insertion of the hysteroscope
- Gas or liquid injection to expand the uterus for viewing purposes
- Examination: including biopsies, photographs, or videos
- Surgical procedures, if necessary, such as fibroid or polyp removal
- Removal of the hysteroscope at the end of the procedure
Recovery after the procedure typically depends on the type of anesthesia you received, if any. Surgical procedures may require additional post-procedure care. We’ll provide aftercare instructions before your procedure.
Visit Dr. Moreira and her team by contacting us at ThriveOB and Women's Wellness. Call our appointment line at 847-868-2908 to book your appointment now.
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