Diagnostic Hysteroscopy
Diagnostic hysteroscopy is a procedure that allows the doctor to examine the inside of the uterus directly through the cervix. A liquid or gas is introduced into the uterine cavity to expand it, making it easier to visualize. The hysteroscope, which is equipped with a light source, functions similarly to a laparoscope, allowing the physician to get a clear view of the uterus.
Indications for Hysteroscopy
A hysteroscopy may be performed for several reasons, including:
- Abnormal uterine bleeding
- Uterine adhesions or polyps
- Congenital uterine abnormalities
- Intrauterine device (IUD) placement or removal
- Endometrial ablation
- Infertility evaluation
- Recurrent miscarriages
- Chronic pelvic pain
- Unexplained vaginal discharge that does not respond to medication
Hysteroscopy Procedure and Postoperative Effects
- You may experience mild abdominal cramps and some vaginal bleeding after the procedure.
- Some patients feel shoulder pain or heaviness due to the gas used to expand the uterus.
- It is recommended to rest for a full day after the procedure and schedule a follow-up visit with your doctor.
Pre- and Post-Hysteroscopy Instructions
Before the Procedure:
- Do not eat or drink after midnight before the procedure or at least 6-8 hours before surgery.
- If you take aspirin, stop it one week before the procedure.
- If you are on blood pressure medication, take it on the morning of the procedure with a small sip of water.
- Shave the intimate area the day before the procedure.
- Arrive at the hospital two hours before the procedure to complete admission paperwork and allow the medical team to prepare you.
- Remove jewelry, metal accessories, and nail polish before leaving home.
After the Procedure:
- You will receive an antibiotic before the procedure to prevent infection.
- After the procedure, you will be prescribed antibiotics and pain relievers, which you should continue taking for several days.
- Inform the medical staff if you have any drug allergies.
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