Hysteroscopy is a test for infertility that allows doctors to view the inside of the uterus. The test is used to determine the cause of abnormal bleeding, look for fibroids and other possible causes of infertility. The test is most accurate during the week following menstruation. If you need this test, your doctor will most likely schedule it for this time in your cycle.
An instrument called a hysteroscope is used in the procedure. A hysteroscope is a fiberoptic tube that is attached to a camera. The tube is approximately as wide as a drinking straw. The camera on the end of the hysteroscope transmits the picture to a video device, which allows a picture of the inside of the uterus to be seen.
There are two uses for the hysteroscope, diagnosis and surgery. If surgery will be done at the same time, you will be given general anesthesia for the procedure. In most cases, the test is used for diagnosis. In this case, no anesthesia is used or a local may be given. In some cases, the doctor will give an anti anxiety drug, such as valium to relax the patient.
The cervix is dilated to allow the hysteroscope to enter the uterus. The uterus must be distended to give a good view of all areas. This can be done in two ways: a fluid, such as saline can be used or the uterus can be filled with carbon dioxide gas.
You will lie on the examination table with your feet in the stirrups. The area will be cleaned with an antibacterial solution prior to dilation of the cervix. This is done to prevent bacteria from entering the uterus and causing a complication. You may feel some slight cramping during the procedure.
The cramping may last for a few days after the hysteroscopy. This is due to the gas used to distend the uterus. The air can travel up through the abdomen and may cause slight pain as far away as the shoulders.
The doctor will most likely give you the results of the test on the same day as the exam. Once it is finished, you can go home. If you are given a medication for anxiety or any other form of anesthesia, you will want to bring your partner or a friend to drive you home. This is a good idea for emotional support as well.
Your doctor will give you instructions for after the test. This will include symptoms to watch for after the procedure. One symptom that can signal a problem is a fever. In general, if you run a fever in the days after the test, you should notify your doctor.
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