Hysteroscopy

When is the procedure indicated?

Hysteroscopy is a type of endoscopy that is used to examine the structure of the uterus and investigate abnormal bleeding. Hysteroscopy is performed by inserting a small endoscopic camera into the uterine cavity through the vagina and cervix.

Any abnormalities found within the uterine cavity can usually be treated during the procedure.

It is carried out within 12 days of the start of menstruation, so that there is no bleeding on the day of the procedure. If necessary, menstruation can be controlled with progesterone or contraceptive pills. If menstruation has ceased, the procedure can be performed at any time. It can be performed on anyone, including postmenopausal women and those who have never given birth.

Duration of the procedure

The procedure usually takes 10–20 minutes. You can drive to the hospital and eat normally before the procedure.

Pros and cons

It is usually relatively painless, but extra pain medication or cervical anaesthesia can be given during the procedure if necessary. The risk of complications from polyclinical hysteroscopy is less than when the procedure is performed under general anaesthetic, and recovery is faster. The risk of infection is low, as long as you follow the guidelines for after-treatment. No sick leave is usually required, although one day can be granted if necessary.

Recovery time

After the procedure, we monitor your condition at the outpatient clinic as necessary. If you are feeling well, you may return home immediately after the procedure. Patients tend not to feel much pain after a hysteroscopy, but may experience light bleeding for 1–2 weeks. Due to the risk of infection, we recommend that you avoid swimming, taking saunas and baths, using tampons, and sexual intercourse for a week. If you experience mild lower abdominal pain after the procedure, you may take suitable pain medication as required.

Contact your doctor if you experience inflammatory symptoms after the procedure, such as fever (a temperature over 37.5°C), foul-smelling discharge, lower abdominal pain, or substantial bleeding with clots.

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