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Hysteroscopy (Diagnostic & Operative)

Expert surgical and medical interventions delivered with compassionate, patient-first care to help you regain your health and quality of life.

Overview

When diagnosing or treating problems deep inside the uterus, doctors historically had to perform "blind" procedures like a D&C (Dilation and Curettage) or major open surgery.

**Hysteroscopy** revolutionized gynecological care. It is a highly advanced, minimally invasive procedure where a thin, lighted telescope (hysteroscope) is passed gently through the vagina and cervix directly into the uterine cavity.

Because it uses your body's natural pathways, **there are absolutely no incisions or cuts made on your abdomen.** At Prakash Hospital, we use hysteroscopy to vividly diagnose the cause of abnormal bleeding or infertility, and often treat the problem immediately during the same procedure.

Why is it Done?

Hysteroscopy is the gold standard for investigating and treating issues inside the uterine cavity, including:
  • Abnormal Uterine Bleeding: Investigating heavy, prolonged periods or bleeding after menopause.
  • Uterine Polyps and Submucosal Fibroids: Identifying and removing non-cancerous growths inside the uterine cavity that cause bleeding or pain.
  • Infertility and Recurrent Miscarriages: Checking the uterine cavity for shape abnormalities (like a uterine septum) or scar tissue (Asherman's syndrome) that prevent an embryo from implanting.
  • Lost IUD: Locating and retrieving an intrauterine device whose strings have disappeared.

What to Expect

Diagnostic Hysteroscopy: This is a quick procedure to simply look inside the uterus. It can sometimes be done in the clinic with local anesthesia or mild sedation.

Operative Hysteroscopy: If a problem (like a polyp) needs to be removed, it is usually done in the operating room under general or regional anesthesia. The hysteroscope is inserted, the uterus is gently expanded with a sterile fluid to provide a clear view, and tiny instruments are passed through the scope to cut and remove the polyps, fibroids, or scar tissue.

The entire procedure usually takes less than 30 to 45 minutes.

Risks & Benefits

The Benefits:

Zero abdominal incisions mean zero external scarring, practically no postoperative pain, and an incredibly fast recovery. It allows for the precise, targeted removal of growths without damaging the rest of the healthy uterus.

Understanding the Risks:

Complications are very rare but can include infection, heavy bleeding, or accidental puncture (perforation) of the uterine wall with the hysteroscope.

Recovery Profile

Recovery is almost immediate.

This is an outpatient day-care procedure. You will go home the same day. You may experience mild cramping (similar to period cramps) and light spotting or watery discharge for a few days.

Most women can return to work and normal activities the very next day, though you should avoid using tampons or having sexual intercourse for about a week to prevent infection.

Frequently Asked Questions

Is hysteroscopy the same as a laparoscopy?

No. A laparoscopy looks at the OUTSIDE of the uterus and the pelvic cavity through small incisions in the abdomen. A hysteroscopy looks at the INSIDE of the uterine cavity by going through the vagina and cervix, requiring no incisions at all.

Will it hurt?

If it is an operative hysteroscopy, you will be under anesthesia and feel nothing. If it is a brief diagnostic office hysteroscopy, you may feel cramping similar to a strong menstrual cramp as the scope passes through the cervix.
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Prakash Hospital Pvt. Ltd. is a 100 bedded NABH NABL accredited multispecialty hospital along with a center of trauma and orthopedics. We are in the service of society since 2001.

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