Hysteroscopy

Why might I need hysteroscopy?

Hysteroscopy may be done based on the results of other tests. It can help find the cause of problems. These can include:

• Unusually heavy or long menstrual periods

• Bleeding between periods

• Postmenopausal bleeding

• Trouble becoming pregnant (infertility) or carrying a pregnancy to term

• To locate an IUD (intrauterine device)

What are the risks and possible complications of hysteroscopy?

Problems with the procedure are rare. But all procedures have risks. Risks of hysteroscopy include:

• Infection

• Bleeding

• Tearing of the uterine wall

• Damage to internal organs

• Scarring of the uterus

• Fluid overload

• Problems with anesthesia, the medicine that prevents pain during the procedure

How do I get ready for hysteroscopy?

• Tell your healthcare provider if you have any health problems. These include diabetes, high blood pressure, heart disease, or bleeding problems.

• Tell your healthcare provider about all the medicines you take. This includes any over-the-counter medicines, prescription medicines, vitamins, herbs, or supplements.

• You may be told not to use vaginal creams or medicine. And you may be told not to have sex or wash out your vagina (douche).

• Follow any directions you are given for not eating or drinking before procedure.

• You may be tested for pregnancy and infection.

• You may be asked to sign a consent form.

• You may be given a pain reliever to take an hour before the procedure. This helps relieve cramping that may occur.

What happens during a hysteroscopy?

• You’ll lie on an exam table with your feet in stirrups.

• You may be given general anesthesia or medicines to help you relax or sleep. In some cases, an IV (intravenous) line will be put into a vein in your arm or hand. This line is then used to give fluids and medicines.

• A tool called a speculum is inserted into the vagina to hold it open. A tool called a dilator may be used to widen the cervix.

• Numbing medicine may be applied to the cervix.

• A long, thin lighted tube with a camera attached (hysteroscope) is inserted through the vagina and into the uterus. It's used to see inside the uterus. Images of the uterus are viewed on a monitor.

• A gas or fluid may be injected into the uterus to expand it.

• Other tools may be put through the hysteroscope. These are used to take tissue samples or remove growths.

What happens after hysteroscopy?

• You may have cramps and bleeding for short time after the procedure. This is normal. Use pads instead of tampons.

• Don't douche or use tampons until your healthcare provider says it’s OK.

• Don't use any vaginal medicines until you are told it’s OK.

• Ask your healthcare provider when it’s OK to have sex again.

When to call your healthcare provider

Call your healthcare provider if any of the following occur:

• Heavy bleeding (more than 1 pad an hour for 2 or more hours)

• A fever of 100.4°F ( 38.0°C) or higher, or as directed by your provider

• Increasing belly (abdominal) pain or soreness

• Bad-smelling discharge

Follow-up care

Schedule a follow-up visit with your healthcare provider. Based on your test results, you may need more treatment. Be sure to follow directions and keep your appointments.