Hysteroscopy

The Gynae Centre Hysteroscopy

A Hysteroscopy is a small procedure that is performed through the vagina and cervix to examine the inside of a uterus using a microscope. It doesn’t require any incisions in the abdomen like keyhole surgery.

The hysteroscope is 1.9-7mm in size and so dilation of the cervix is not often necessary. We sometimes use tablets to soften the cervix. These are inserted into the vagina or taken orally two hours before the procedure to allow for easier introduction of the hysteroscope.

We use the Bipolar diathermy needle or the Truclear mechanical morcellator to remove polyps.

At The Gynae Centre we prefer to use sedation to ensure that our patients are not subjected to any unnecessary discomfort.

Why would I need a Hysteroscopy?

A Hysteroscopy may be required for various reasons.

  • When there has been persistent abnormal bleeding for reasons that cannot be diagnosed by transvaginal ultrasound.
  • For the diagnosis and removal of endometrial polyps.
  • Removal of intracavitary fibroids.
  • Removal of difficult coils.
  • Removal of retained tissue or small adhesions.
  • Removal of uterine septums.
  • Dissection of uterine adhesions.
  • Investigation of post menopausal bleeding.
  • Investigations of infertility and before IVF.
  • Recurrent miscarriages
  • Removal of coils where the thread cannot be seen.

Hysteroscopys are usually performed at The Gynae Centre under mild sedation thus reducing the costs to our patients. Our clinic and theatre is approved by the CQC.

The procedure is usually performed as a day procedure and takes 30-45 minutes to complete. Patients are usually discharged after one hour.

Intrauterine fibroids or more complex procedures are usually performed in hospitals.

With a Diagnostic Hysteroscopy, some women might experience period-like cramps for 1-2 days, but usually, there is very little discomfort. However, more demanding operative procedures such as the removal of fibroids may cause bleeding and pain for between 3-5 days.

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