|Female Reproductive Organs|
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Reasons for Procedure
- Diagnostic reasons—to examine the inner uterus to identify problems or abnormalities; may be done if you have:
- Therapeutic reasons—to correct anatomic problems and defects in the uterus; may be done for:
- Swelling or bleeding
- Organ injury
- Reaction to anesthesia
- History of pelvic inflammatory disease
- Inflammation of the cervix
- Distended bladder
- Pregnancy or possible pregnancy
- Allergies to surgical materials (such as iodine, latex, medicines, anesthetics)
What to Expect
Prior to Procedure
Talk to your doctor about your medicines. You may be asked to stop taking some medicines up to one week before the procedure, like:
- Anti-inflammatory drugs (such as aspirin)
- Blood thinners (such as clopidogrel or warfarin)
- Arrange to have someone drive you home. Also, arrange for help at home.
- If instructed, eat a light meal the night before the surgery. Do not eat or drink anything after midnight.
- General anesthesia—blocks pain and keeps you asleep through the surgery; used for therapeutic procedure
- Regional anesthesia—numbs one area of the body; used for diagnostic or therapeutic procedure
- Local anesthesia—just the area that is being operated on is numbed; given as an injection and may also be given with a sedative; used for diagnostic procedure
Description of the Procedure
How Long Will It Take?
How Much Will It Hurt?
- Rest as needed. Ask for someone to help you at home.
- Recovery time is short. Return to your normal activities the day after the procedure.
- Do not take medicine without your doctor’s approval. Some medicines may make bleeding worse.
- You may have difficulty using the bathroom for a few hours after the procedure. You may also have watery or bloody vaginal discharge for 3-4 weeks.
- You may have some bleeding or discharge from your vagina for several days postsurgery. A sanitary napkin or pad may be worn.
- Talk to your doctor about when it is okay to have sex, use tampons, or put anything else in the vagina.
- Be sure to follow your doctor's instructions.
Call Your Doctor
- Signs of infection, including fever and chills
- Abnormal bleeding (more than a menstrual period)
- Foul-smelling vaginal discharge
- Abdominal pain
- Nausea, vomiting
- Cough, shortness of breath, difficulty swallowing, or chest pain
- Trouble urinating
- Any other concerns
The American Congress of Obstetricians and Gynecologists http://www.acog.org/For%5FPatients
Women's Health.gov http://www.womenshealth.gov
The Society of Obstetricians and Gynaecologists of Canada http://www.sogc.org
Women's Health Matters http://www.womenshealthmatters.ca
Cohen SM, ed. Operative Laparoscopy & Hysteroscopy. New York, NY: Churchill Livingstone; 1996.
Gynecologic evaluation. The Merck Manual of Medical Information, Second Home Edition Online website. Available at: http://www.merck.com/mmhe/sec22/ch242/ch242c.html?qt=hysteroscopy&alt=sh#sec22-ch242-ch242c-124. Updated March 2007. Accessed December 20, 2012.
Hysteroscopy. St. John’s Mercy Health Care website. Available at: http://www.mercy.net/service/hysteroscopy. Accessed December 20, 2012.
Julian T. Hysteroscopic complications. Journal of Lower Genital Tract Disease. 2002;6:39-47.
- Reviewer: Andrea Chisholm, MD
- Review Date: 11/2012 -
- Update Date: 11/26/2012 -