Hysteroscopy

Hysteroscopy is an exploratory procedure which allows the Gynaecologist to see inside the endometrial cavity. This can be done through the vagina and is commonly done under general anaesthetic but we have the facilities to do this under local anaesthetic in the consulting rooms. The hysteroscope, the instrument used, is like a narrow telescope which is only 3 mms wide. It allows visualization of the inside of the uterus.

Reasons for Hysteroscopy

1. For diagnostic purposes:

• abnormal bleeding
• intermenstrual bleeding
• intermenstrual spotting
• postmenopausal bleeding
• heavy bleeding (menorrhagia)

2. For sterilization

The new technique of the Essure permanent contraceptive device. These are tiny springs that are inserted into the Fallopian tubes to occlude them. Pregnancy can then be prevented. It is permanent.

3. To treat menorrhagia (heavy bleeding)

• to remove submucosal fibroids (see Fibroids)
• to remove endometrial polyps
• to ablate (destroy) the endometrium to stop bleeding completely

Details about the procedure

This can be done either under local anaesthetic in the consulting rooms or under a light general anaesthetic. The cervix is dilated marginally and the 3 mm hysteroscope is inserted into the uterine cavity to obtain a view.

Recovery

There is usually minimal discomfort after the procedure although there may be some spotting. A woman can return to normal activities either the same or the next day. There may be some cramps which are similar to menstrual cramps.