Hysteroscopy





Definition

Hysteroscopy enables a physician to look through the vagina and neck of the uterus (cervix) to inspect the cavity of the uterus with an instrument called a hysteroscope. Hysteroscopy is used as both a diagnostic and a treatment tool.

Purpose

Diagnostic hysteroscopy can be used to help determine the cause of infertility, dysfunctional uterine bleeding, and repeated miscarriages. It can also help locate polyps and fibroids, as well as intrauterine devices (IUDs).

The procedure is also used to investigate and treat gynecological conditions, often done instead of or in addition to performing a dilation and curettage (D&C). A D&C is a surgical procedure that expands the cervical canal (dilation) so that the lining of the uterus can be scraped (curettage). A D&C can be used to take a sample of the lining of the uterus for analysis. However, hysteroscopy has advantages over a D&C because the doctor can take tissue samples of specific areas and view any fibroids, polyps, or structural abnormalities. In addition, small fibroids and polyps may be removed via the hysteroscope (in combination with other instruments that are inserted through canals in the hysteroscope), thus avoiding more invasive and complicated open surgery. This approach is also used to remove IUDs that have become embedded in the wall of the uterus.


Demographics

There is no research available to indicate that hysteroscopy is performed more or less frequently on any subset of the female population.


Description

The hysteroscope is an extremely thin telescope-like instrument that looks like a lighted tube. The modern hysteroscope is so thin that it can fit through the cervix with only minimal or no dilation.

Before inserting the hysteroscope, the doctor administers an anesthetic. Once it has taken effect, the doctor dilates the cervix slightly, and then inserts the hysteroscope through the cervix to reveal the inside of the uterus. Ordinarily, the walls of the uterus are touching each other. In order to get a better view, the uterus may be inflated with carbon dioxide gas or fluid. Hysteroscopy takes approximately 30 minutes.

Treatment involving the use of hysteroscopy is usually performed as a short-stay hospital procedure with regional or general anesthesia. Tiny surgical instruments may be inserted through the hysteroscope to remove polyps or fibroids. A small sample of tissue lining the uterus is often removed for examination, especially if the patient has experienced any abnormal bleeding.


Diagnosis/Preparation

If the procedure is performed under general anesthesia, the patient should have nothing to eat or drink after midnight the night before the procedure. Routine lab tests may be ordered if the procedure is performed in a hospital. Occasionally, a mild sedative is administered to help the patient relax. The patient is asked to empty her bladder. She is then placed in position (usually in a special chair that tilts back) and the vagina is cleansed. Usually, a local anesthetic is administered around the cervix, although a regional anesthetic that blocks nerves connected to the pelvic region or a general anesthetic may be required for some patients.


Aftercare

It is normal to experience light bleeding for one to two days after surgical hysteroscopy. Mild cramping or pain is common after operative hysteroscopy, but usually diminishes within eight hours. If carbon dioxide gas was used, the resulting discomfort usually subsides within 24 hours.


Risks

Diagnostic hysteroscopy rarely causes complications. The primary risk is infection. Prolonged bleeding may follow a surgical hysteroscopy to remove a growth. Another complication is perforation of the uterus, bowel, or bladder, caused by over-forceful advancement of the hysteroscope. An infrequent but dangerous complication is increased fluid absorption from the uterus into the bloodstream. Keeping track of the amount of fluid used during the procedure can minimize this complication. Surgery under general anesthesia poses the additional risks typically associated with this type of anesthesia.

The procedure is not performed on women with acute pelvic inflammatory disease (PID) due to the potential of exacerbating the condition. Hysteroscopy should be scheduled after menstrual bleeding has ended and before ovulation to avoid a potential interruption of a new pregnancy.

Patients should notify their health care provider if, after the hysteroscopy, they develop any of the following symptoms:

  • abnormal discharge
  • heavy bleeding
  • fever over 101°F (38.3°C)
  • severe lower abdominal pain

Normal results

Normal hysteroscopy reveals a healthy uterus with no fibroids or other growths. Abnormal results include uterine fibroids, polyps, or a septum (an extra fold of tissue down the center of the uterus). Sometimes, precancerous or malignant growths are discovered.


Morbidity and mortality rates

The rate of complications during diagnostic hysteroscopy is very low, about 0.01%. Surgical hysteroscopy is associated with a higher number of complications. Perforation of the uterus occurs in 0.8% of procedures and excess bleeding in 1.2–3.5% of cases. Death as a result of hysteroscopy occurs at a rate of 2.4 per 100,000 procedures performed.


Alternatives

A laparoscope (an instrument with a video camera inserted through the abdominal wall) may be used to visualize the outside of the uterus or perform a surgical procedure on the pelvic organs. Laparoscopy and hysteroscopy are sometimes performed simultaneously to maximize their diagnostic capabilities.

Resources

BOOKS

Pagana, Kathleen D., and Timothy J. Pagana. Diagnostic Testing and Nursing Implications. 5th edition. St. Louis: Mosby, 1999.

PERIODICALS

Murdoch, J. A., and T. J. Gan. "Anesthesia for Hysteroscopy." Anesthesiology Clinics of North America 19, no. 1 (March 2001): 125–40.

Neuwirth, R. S. "Special Article: Hysteroscopy and Gynecology: Past, Present, and Future." Journal of American Association of Gynecology Laparoscopy 8, no. 2 (May 2001): 193–8.

ORGANIZATIONS

American College of Obstetricians and Gynecologists. 409 12th St., S.W., P.O. Box 96920, Washington, DC 20090-6920. http://www.acog.org/ .

OTHER

Gordon, A. G. "Complications of Hysteroscopy." Practical Training and Research in Gynecologic Endoscopy. February 17, 2003 [cited March 13, 2003]. <http://www.gfmer.ch/Books/Endoscopy_book/Ch24_Complications_hyst r.html> .

Maggie Boleyn, RN,BSN
Stephanie Dionne Sherk

WHO PERFORMS THE PROCEDURE AND WHERE IS IT PERFORMED?


The test is usually performed by a gynecologist, a medical doctor who specializes in the areas of women's general health, pregnancy, labor and childbirth, and prenatal testing. Nursing staff assists with providing education, positioning the patient, and specimen collection. Diagnostic hysteroscopy is performed in either a doctor's office or hospital. Uterine size and potential diagnosis and complexity of treatment determine the setting.

QUESTIONS TO ASK THE DOCTOR


  • Why is hysteroscopy recommended in my case?
  • Will a surgical procedure be performed?
  • How long will the procedure take?
  • Where will the procedure be performed?

User Contributions:

michelle
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Feb 13, 2006 @ 8:08 am
i am having a hysteroscopy and d&c as i have had acute pelvic inflammatory disease since september 05 after having lletz biopsy for cin 3 on my cervix. i have had every antibiotic going to treat the infection and have had numerous tests for stds all negative. i also have polycystic ovaries and am wondering if my gynaecologist has missed something out as when he last examined me he inserted a thin tube through my cernix and it was excrutiating(the pain).i also bled quite heavy and had very thick brown discharge afterwards iam still unable to work because of the pain and need to be sorted soon as its ruining my life. iam also worried that the cells they removed have come back as my g.p. said i have a nabothian cyst on my cervix that was not there in september. please helpas i have a young son who needs his mother to be well.
Tania
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Apr 19, 2006 @ 8:08 am
Hi, Im living in Jamaica and have been trying to get pregnant for the past 14 months. I recently did 2 ultrasounds and it was discovered that I have a septate uterus. The doctor has recommended that I do a diagnostic hysteroscopy and laparoscopy, the cost of this is nearly US$1,500.00 Could you recommend somewhere that I could do the procedure in Florida where it may be cheaper?
Thanks
Tania
Terri-mae
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Apr 23, 2006 @ 10:22 pm
I AM ABOUT TO HAVE A OPERATION FOR HSSTEROSCOPY D/C AND WOULD LIKE TO READ UP ON THIS INFORMATION REGARDS TERRI-MAE.
m harding
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Jul 16, 2009 @ 1:13 pm
Please explain how hysteroscopes are sterilised between patients.
Is there any possibility of viral transmission? Thank you
M Harding [in England]
Pat
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Aug 6, 2009 @ 9:21 pm
I am a 67 year old post menapausal woman who is scheduled for a D&C and a hysteroscopy. I was wondering if anyone about my age has had a similar experience. I would love to "speak" with you.
Can anyone recommend a specialized doctor to perform this procedure? I live in Rockville Centre, Nassau, NY?
Thank you and good luck to the writers above. God bless all!
jumoke
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Jan 22, 2010 @ 6:18 pm
Hi
I had a hysterosalpingogram the result show the right fallopian tube was identified appear patent with spillage into the peritoneal cavity however the contrast accumulad into a rounded collection possible suggestive peritule adhesion

The left tube was partially seen however no spillage was identified from the left fallopian tube into the peritoneal cavity consistent with blookage

My Dr suggest correlation of findings with hysteroscopy and endovaginal ultrasaund

Is their any chances to conceived successfully after the surgery procedure?
Smiley
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Jan 23, 2010 @ 6:18 pm
I am almost 70 years old and just had a hysterocopic and D&C with polyectomy removal. I went in surgery at 8:00 a.m. and was awake at 9:00 a.m., dischaged before 10:00 a.m. with no pain and minimal bleeding. I slept until around 3:00 p.m. that afternoon, then took a pain pill that I really didn't need at the time, but didn't know what to expect about pain. I ate light, things like yogurt, pudding because they told me I could get nauseated if I ate heavy. The surgery was Thurs. a.m. and it is now Saturday and I still have not had any pain and no more bleeding. I feel great but I know not to be up trying to do anything except fix something to eat, walk to the mailbox, etc. I mostly do things at the computer, watch tv or read. I was scared to say the least, but it was a breeze. I just have to look out for fever (infection) or heavy bleeding. Overall, it was not a bad surgery at all.
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May 16, 2010 @ 4:16 pm
Hi I recently had a hysteroscopy due to irregular bleeding and lower abdominal pain and bloating, this was back in april but i am still bleeding sometimetimes quite heavy. Is this normal?

Thanks

Karen
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Jun 3, 2010 @ 6:06 am
hello i had a d and c and heteroscopy done on monday this week. wasnt given any instructions, I have been taking it easy and the day after surgery i had a reaction to the anethestic. and the day after that i started bleeding more heavily. and I've been having severe cramps. i have polysistic ovarian syndrome, and am used to being in pain but these cramsps are worse. i would love to get any feed back that my help to get my life back to normal. I have been suffering from this for 6 yrs and been to numerous doctors, specialists and i seem to just get lost in the system. they do so many tests and never seem to find anything. It's getting beyond a joke. I haven
t been able to work due to severity of bleeding and pain. would love any information that could be handy.

Thanks Shezza
Tamsin
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Jun 7, 2010 @ 5:17 pm
Shezza, I have just had a hysteroscopy done today, and I am still in alot of pain from the gas,as I was from a laparascopy 13 years ago. I would love to know how to stop this. I too have polycystic ovarian syndrome and lots of pain, and heavy bleeding and they are trying to find out why. Seems that they are thinking hysterectomy might help stop the pain, somehow I dont know.

Has anyone found out how to stop the pain the shoulder and diaphram from the gas?
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Jul 19, 2010 @ 8:20 pm
Hi my name is Rhianne and I am having LAPAROSCOPY HYSTEROSCOPY D&C as I have POS and severe pain. Doctors think I also may have endometriosis so that is the reason for me having the surgury so they can take samples and find out. Doctors are putting me under General Anasetic so I will be knocked out the entire time but it is only day surgery so I dont have to stay in over night.
Rebekah
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Sep 5, 2010 @ 2:02 am
I am having to have a hysteroscopy due to an embedded IUD. My OB/GYN tried unsuccessfully this past Friday to remove it in his office. I am very nervous to have this done as this will only be my second time to be put under. I have never had any problems with IUDs before and am very saddened to find out that I have one stuck now. I won't ever get another one again after this one. I hope everyone that has posted has had great success with their operation. Just know that these operations aren't just for GYN problems only. I am shocked that I am going to have this done for an embedded IUD. This was something I had no idea could happen. Thanks for all your prayers in advance.
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Oct 1, 2010 @ 10:22 pm
On November 12th I am supposed to have a D&C and a hysteroscopy. The doctor also said something about Thermachioce and endometrial oblation. I have been diagnised as having endometrosis, mutliple uterine fibrios, and mutliple cyst on my cervix. Is this the best procedure for me. I was also said to have HPV. Will a hysterectomy be better?
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Nov 5, 2010 @ 9:09 am
I just had a Hysteroscopy D & C laproscopic surgery done on Wednesday, November 3, 2010. I am hurting so bad I can hardly walk. Is this normal? I figured I would at least feel a little better today. I know it's only been 2 days but still. Dr give me a script of pain medication but it doesn't even touch this pain I'm having. I was already having severe pelvic pain but now it's even worse. I have 4 kids to take care of and my husband works what am i supposed to do?
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Dec 6, 2010 @ 3:03 am
Hi, I am 56 and always had 28/30 days mentrual cycle. All three kids were born under Cessarian section when I was 27,31 & 32.Until 2007 my periods were regular. In 2008 i got every other month.
Again in 2009 my periods were once in 3 months.In 2010 January I had mild flow for only 3 days and nine months. Later in October i had mild discharge for only two days with slight abdominal pain which was bearable.
My Doctor feels that I shouldn't have had these two periods in 2010, as i am 56. Hence a trans vaginal scan was done to check ovaries & Endometrial thickness.The result was a 1 c.m endometrial thickness,maogins - normal,coarse myometrial echo pattern,and the rest were normal.
Due to the 1 c.m thickness the doc wanted me to do a Hysteroscopy and D & C.
Is it advisable to get a Hysterectomy done once & for all with out going through Hysteroscopy and D&C ? Because if malignancy is found, I will have to undergo a Hysterectomy.
please advice.

Thanks,
Deana
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Feb 3, 2011 @ 9:09 am
ihad a hysterscopy on jan.24th 2011 surgery went fine but dr. told me i will never have a monthly again,i'm still bleeding today. could there be a problem that i need to be concerned about. don't think surgery worked
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Jun 24, 2011 @ 1:01 am
That is very good comment you shared.Thank you so much that for you shared those things with us.Im wishing you to carry on with ur achivments.All the best.
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Aug 20, 2011 @ 4:16 pm
I just had a D&C and hystercomy on Thursday of this week. I am still in pain and the pain meds the dr. prescribed are not working. Most of the pain is in my lower abdomen. The dr. said I would have cramps for a couple of days but this is worse than any cramps I ever had. I have also had a light brown almost slimy looking discharge is this common?
Teresa
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Sep 18, 2011 @ 9:21 pm
I am 50 yrs old, post menopausal and had a hysteroscopy five days ago due to abnormal bleeding. An apparently large benign polyp was removed. I bled moderately for a couple days then it subsided today I began moderate bleeding again. Is this normal?
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Sep 26, 2011 @ 4:16 pm
Had a polyp removed on Friday and d&c taken every pain killer and still in agony. Can anyone help
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Sep 29, 2011 @ 6:06 am
im having hesterocopy soon im 50 years old i dont have periods anymore but lots of pain whene have sex doctor said i have tichk cevrix im realy scare of going under general
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Oct 10, 2011 @ 7:07 am
I am 20 years old, and have PCOS, and a septate uterus. After suffering multiple miscarriages, my partner and i have been to many specialists. We have finally found someone who is going to help us, and i now have a laparascopy and hysteroscopy scheduled for 01/11/2011. I am quite nervous and worried, as i had a miscarriage on 2/09/2011 and have not mensturated since. Ive been put on provera and monofeme untill the surgeey, but am nervous about the procedure. I will be put under general anaesthetic, and was wanting to speak to anyone who has had the same experience?? any info/advice will be greatly appreciated !!! Thankyou
Kayla Tess
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Oct 25, 2011 @ 10:22 pm
Yes I to had a D&C and Hysteroscopy I August still bleeding heavy most of the time In
A few days from now I am having a ablation done will this finally bring me back to normal? I am so tired of this I just want it to stop. I just feel like I should have a permanent seat on the toilet, please tell me!
Patricia
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Nov 1, 2011 @ 9:09 am
I had a hysteroscopy w/polypectomy on Wednesday, October 26th. My doctor said I was good to go back to work the following day and I did. I have been having mild discomfort in my lower abdominal area since the day after the procedure. He prescribed Ibuprofin 400mg and Vicodin for the pain. I'm good with the Ibuprofin until it wears out. I hope I didn't go back to work too soon :(
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Nov 7, 2011 @ 5:05 am
I had a hysteroscopy, part of the lining of the womb removed and a a large polyp removed 4 days ago. I am still having a dull ache om the lower abdomen but the bleeding and discharge have stopped. Is the dull ache normal. I am a 70 year old woman.
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Nov 17, 2011 @ 6:06 am
Hi I'm 47 and had Hysteroscopy on 09.11.11 as an outpatient with local anathestic, for heavy periods and bleeding between periods. Small polyp removed and endometrial biopsy taken and I await pathology results in 3 - 4 weeks time. I felt ok that day and the day after... pains were no worse than my normal but I've had bad pain with periods for so long I don't know what's normal and what isn't any more. I smugly thought I had a few days off work to catch up on a few things I needed to do. Readmitted 13.11.11 due to bleeding, feeling very unwell, aches and pains everywhere and wobbly on my feet. A bit like severe flu but without any respiratory signs. Prescribed antibiotics and advised I was only allowed home as I lived locally and promised to return directly to gynae unit if I felt worse. One week later and I'm still signed off work. Bleeding stopped, but I'm still just lying around like a wet weekend with no energy at all. As blood tests were all normal,not anaemic and no signs of any infection, G.P and I have concluded I am just one of those women who's girly bits do not like being tampered with and perhaps my body is in post surgical shock and I simply need time to recover. Gp been v clear that I am not to return to work and my usual level of tearing around after the family until reviewed in a week's time by them. Some sites say pain and bleeding can last for weeks or months after Hysteroscopy and others say it's only for a few days. I had arrogantly presumed that I would ping back from this surgery and be ack to my normal within 48 hours, but I guess we are all so very different. I hope my sharing this information helps somebody else to know that it may take longer to recover from Hysteroscopy than the literature suggests and that this is ok too.
Liza
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Dec 11, 2011 @ 3:03 am
Madeline,

You sound like me I've had a Hysteroscopy and D &C back in November. Have polyps removed and my uterus scraped. Since this was done I've been bleeding and not at all impressed. The doctor says I need a full abdominal hysterectomy. My mother died from ovarian cancer 3 years ago. Have not bled for almost 24 years before I was pregnant with my third child. Big shock to the system to be bleeding after all this time...Do not know how long this will last. Doctor wants me to wait 6 months after the previous surgery. There was no sign of cancer. We are going on an overseas trip in March 2012 and I'm hoping this thing has settled down a bit. . Does anyone know or have experienced bleeding like this after the procedure. Thought by now it would have stopped.
Linda
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Dec 22, 2011 @ 9:21 pm
All the inputs so far have given me insights on what to expect for my hysteroscopy and D&C tomorrow December 23. Like some of you, a polyp of quite a size will also be removed. I am hoping this procedure will be more like those above whose experiences were described as " a breeze". I am a bit nervous though. Thanks to all of you for sharing your experiences particular to this procedure.
Julie
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Jan 29, 2012 @ 12:12 pm
It isn't so much the procedure- mine was a hysteroscopy with D&C, and a polypectomy- its the reaction to the air they pump in- and delayed reactions to anaesthetic that got to me. I was able to go home by 2pm on same day as procedure (which was at 9am)- but the three days afterwards were really really shaky. Going to get groceries on day 4 was scary stuff- knees were shaky and I kept trying to hold everything in- which is probably the wrong approach.
gwenda
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Mar 3, 2012 @ 9:21 pm
Had a D&C/ hysteroscopy/ many polyps removed / & ablation done on Feb 28,2012. My experience was quite different then alot of the above.. I had very light to no bleeding, no discharge and very little cramping after the procedure..I did not take any pain meds only ibuprofen once.. It is almost a week later and still no bleeding and slight cramping.. I still have to find out test results but so far no complaints... Before this procedure I had been bleeding for 4 months straigt and before that had not had a period for approx 1 year... Hope things keep going this well..
marina
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Mar 4, 2012 @ 1:13 pm
I am having this proseedure done soon,its Tuesday of this week I am
Just wondering if I can still have it done on the 4th day of my period i will close to not being on my period cause I only spot on the 4th day please help me ease my mind
gigi
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Apr 2, 2012 @ 10:10 am
I had a D&C/hysteroscopy/biopsy with polyps removed nearly three years ago under general anesthesia in the hospital. Last week, I had the same done in the office with just pain medication, xanax and shots of numbing meds. I was pretty nervous about being awake for it. and the shots hurt some, but it really wasn't bad. I was able to talk to the doctor and nurse while she did, so I guess the meds had me pretty relaxed. If I had to do it again, I would chose this way because it was cheaper and easier. It's been four days, I rested most of the weekend and returned to work today. I can't say I feel 100% great, but I haven't felt 100% for a while anyway - that's why I had it done.
Tina
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May 3, 2012 @ 5:17 pm
HiI'm 50 yrs old just before I my 5oth birthday July August 2011. Birthday in December. I had heavy bleeding for two months blood through clothes, sheets.I went to the doctor she ordered an ultasound. Came back I have a polpy. Never heard of it? Had operation in January 2011. All clear, no heavy bleeding, healthy womb. Spotting, then periodin febraury with spottin, March period spotting. No normal period in April 2012. Though i might be pregnant?. Have been trying for a long time regardless of age, knew I had small chance. Looked on internet Polyp D&C operation is part of stopping your period in women.! Went to gynaecologist in hospital. He devastingly said to old for a baby, had my op stopped bleeding ok, even if I did fall pregnant very high risk miscarriage . I basically had heavy bleeding, had op, low eastrogen no help there? glad heavy bleeding has stopped. All bad news from doctor, too old who cares. Can't help you. No periods at all I knew Iknew I had very small chance of baby with my partner. But no bleeding gone, Doctor does'nt know if I will get period again! would'nt at all give me anything for eatrogen heightening. Before op at least I had period now nothing!! I'm not iggnorant totall devastated, all hopes at gone fo falling pregnant.!! Has anyone else experienced this extremely sad!!no i don't want adoption , or egg donar it would'nt be mine. Don't have the money. Does'nt come from me my DNA and partners not not for me. I feel like a fool, very devastated and extremely sad and there's nothing i can do. Thank you.
eva
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May 23, 2012 @ 11:11 am
I had a hysteroscopy today and a biopsy. The water flushing through it was fine. The doc explained that I am more likely to need an anaesthetic if the wall of the cervix ie the middle tubey thing was too small, and if you have no kids, it is more likely to be smaller. However, there's normally enough to let the hysteroscope to in but it is tougher.

Firstly as she pushed the hysteroscope in I felt strong period like cramping. Then as she pushed it, I felt a bit of pain rather like a knitting needle, fortunately this did not last long. I started to feel crampy, felt like vomiting, swearty and fainty. However, that was the worst bit only and the rest was ok. It was quite quick phew but uncomfortable.

Afterwards the nurse designated to me made a cup of tea.

I didn't have a car so didn't drive back but I had a friend who stayed with me 24 hours
I was taken home by bus. I walked slowly. As it was a hot day and my body was slightly in shock, I felt a bit faint and sick.

However, I stayed somewhere cool and got on the train home which also rested me. I felt much better after that. I had some blood afterwards but that is normal.

It really is worth doing, cancer has a lot worse pain.

I don't recommend driving and make sure your motor insurance company is aware.
azam
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Jun 11, 2012 @ 7:19 pm
I am 51 year old,menopose for 3 years, started to have period pain and slight vaginal bleeding for a week, my gp sent me for urgent scan hystercopy and biposy , I have two young children I am worry how long does it take to be fit to work as I am self employ and I do not get pain if I am not working i would be greatful for any advice
jan
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Jun 30, 2012 @ 8:20 pm
My name is Jan and I am 54 years old.
I had a D&C and a Hysteroscopy done on June 29th, 2012 at the Victoria Hospital in Winnipeg, Manitoba, Canada by Dr. Raina Best- OB/GYN.
The reason for my procedure was that I had slight bleeding and showing in January 2012 for several days and again in February 2012 for two days. I had not had a period for 16 months prior to this.
It was a very simple, easy and pain free experience. I went in to the hospital's day surgery unit in the morning and was hooked up to an I.V.
I was given a very small dose of anesthetic to relax me, but I was awake for the procedure. I was in the operating room for about 15 minutes and back to recovery for two hours.
I had very little bleeding and no pain. No need to take a single pain releiver!
The medical staff were very good at explaining the procedure.
Dr. Best came to see me after the procedure and told me that everything looked normal and all went well. Great relief! She also gave me a note to confirm. She said that she will call me once the pathology report comes back in six weeks. Such a long time to wait, but I feel good knowing the Doctor (who does many of these) was happy with the procedure and could not see anything that concerned her.
I left two hours after the day surgery and went to lunch and shopping with my daughter.
I know that they need to prpeare you for the procedure, but consider it a gift if you feel as good as I did afterwards. I hope my comment will help to ease others minds before the procedure.
Carol Lawrence
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Jul 13, 2012 @ 6:06 am
I had a hysteroscopy a week ago & they did a womb biopsy and removed a polyp and did a D & C. Ever since then I have had a bloating sensation in the left side of the womb with rumblings and mild colic aches when I lie down in bed at night. I wonder if this is caused by the gas they use to inflate the womb during surgery?
Tina
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Jul 17, 2012 @ 8:08 am
I am 48! I am having dnc and was planning a beach trip two days later! Was just wondering if I can make trip? How much bleeding and pain! I've been in menopause a year! Breast tenderness!
Lyn
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Aug 2, 2012 @ 7:19 pm
Having hysteroscopy to remove uterine polyps & D&C Monday. Wondering if they will still do it if I am bleeding. Periods happen whenever they want that's why procedure was recomemded. Hope someone can put me at ease as I have been waiting for so long to have it done and would be totally "P" off if it is cancelled.
rogiye
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Oct 13, 2012 @ 7:19 pm
I am 43 .i had a hysteroscopy 3 months ago, until now (about 3 month)i didnot have period.i am wondering what is the reason. Even though i did pregnancy test and it was negative.
taylor
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Oct 25, 2012 @ 8:20 pm
I had hysterscopy on Monday 22nd Oct 2012@11:30am. I was
Put under with Propofal as well as Versped and other drugs. The procedure was only 35 min. Dr also performed a D&C. A small polyp was removed. I was fine for the first 5 hours or so, but then both my hands went to sleep. I went to ER and I was shock from Anesthetic. My pulse was rapid, shortness of breath, numbness in extremities. They kept me in ER for 5 hours, and tested for blood clots, emblemism..etc. my back has been killing me every since and now abdominal pain. I still have not gone back to work after 4 days and only expected to be off 2 days.
Anyone's experience similar?
helen
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Nov 13, 2012 @ 7:07 am
i had an hysteroscopy on 22nd oct i still have a brown discharge is this normal i have to wear a pad every day .
ruth
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Dec 14, 2012 @ 12:12 pm
i was having spotting after a dr gave me estrogen for thinning of the vagina; without checking to see what my hormone levels were. the one doctor said "they are in the basement. did not go back to her. no one will check the levels??? there again to old to have any hormones?? i am 66 yrs old; i have enjoyed sex up until i started the bleeding. I have bleeding fibroids which is rare for someone my age??; so they suspect something else. I had a d and c and felt no cramping for 10 hours. I still am bleeding after e days and cramping; i relieve the pain with 800 ibropen every 12 hours. dr thinks there is something else going on because of the lower left pelvic pain. does not suspect ovarie problem too old. dont see the dr for another 14 days for results from tissue off the uterus. I hoped the pain would have gone away. started with pain in July 2012. drs i saw did not seem to be alarmed for the bleeding and did not suggest how much to take for pain. I guess you are suppose to bit a bullet; you are a woman. If you were not going thru a maxey pad and hour no alarm. doctor's had no answers; looked at you like you a crazy woman. I am discussed.
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Feb 9, 2013 @ 10:22 pm
I had hysteroscopy cervical smear and endometrial biopsy on 07/02/2013. I have woke up the last 2 mornings really early with lower back pain and as yet not been to the toilet since having it done. Should I be worried? Is this normal?
Julie
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Mar 5, 2013 @ 6:18 pm
I had hysteroscopy, d and c, removal of Mirena and insertion of new mirena and possibly polypectomy health yesterday morning.

A bit tender and sore but feel okay - feel better than when I had heavy periods and large blood clots. Taking it easy for a few more days at home as work is quite hectic. Just on the computer, watching tv and resting. Hung out some washing as well.

For all of you reading this, please take care and seek other advice from health professionals. You need to have absolute trust in your medical help.
Deanna
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May 14, 2013 @ 11:11 am
I HAD THE HYSTERSCOPY WITH D&C AND STILL SPOTTING FREQUENTLY WITH SOMETIMES IT APPEARING TO TRY TO STOP. HOW LONG DO YOU BLEED OR SPOT AFTER THIS PROCEDURE. THIS IS ONE OF THE REASONS I HAD IT DONE TO STOP THE SPOTTING AND BLOATING AND WEIGHT GAIN AND ANEMIA AND MOODSWINGS AND ALL THAT CRAP PLUS THERE WAS A POLYP THE SIZE OF AN EGG IN UTERUS THAT HAD TO BE TAKEN OUT IN FRAGMENTS. SO WHAT DO I EXPECT? I TOLD DOC UPON FOLLOW UP VISIT AND SHE SAID YES IT WAS NORMAL NO CANCER OR FURTHER SURGERIES NEEDED. HOWEVER I AM STILL SPOTTING AND FED UP WITH IT. WHAT GIVES CAN YOU HELP ANSWER THIS AM I DOING THE NORMAL THING FOR MY AGE 44 ?
Joanne
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May 20, 2013 @ 2:14 pm
I had two hysteroscopies recently. One on 3/8/13 and the other 5/17/13 due to abnormal spotting after menopause. I am 60 years old. The second one was performed because my doctor failed to remove the polyp in the first procedure. I am now awaiting lab results from the polyp removal from the second procedure. My first procedure was awful due to the various narcotics given for anethesia. The second one was tolerated much better after I refused to be given Fentanyl and Versed. I was only given Propofol and Toradol for the second procedure. I didnt experience any nausea from the second procedure nor any pain from either. I am still bleeding but my doctor said that usually happens afterwards. If I continue to bleed, my doctor said he might treat the bleeding with hormones, but I suspect somewhere down the road, I'll have to have a hysterectomy. Hope this was helpful to someone.
caroline
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Jun 17, 2013 @ 5:17 pm
I had a hystroscopy in April. The last 2 periods I had are extremely heavy. I have never bled this heavy until the hystroscopy. Is this normal and will it get lighter like it use to be?
Jan
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Jul 11, 2013 @ 5:17 pm
I had a hysterectomy 5 weeks ago...had severe cramps for 3 weeks after an now am having cramps as well as discharge an not bled at all is this normal or should I go see my gp...
Kaysea
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Aug 4, 2013 @ 1:13 pm
Hello all. I am having a hysteroscopy soon. After the failed attempts of removing the Mirena IUD. I am terrified as I will be put under GA. I don't really know what to expect. Especially if I am facing a laparoscopic surgery if this attempt fails. I have 3 kids who need their mommy and I am petrified over this. Are there any videos that I can watch to prepare myself for this? Please share!!! Thank you!!!
Ruche Williams
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Aug 6, 2013 @ 9:09 am
Hi. I have had a hysteroscopy and D&C more than a year ago due to heavy bleeding. I'm not on any family planning because I want to get pregnant. But still nothing happens. Is there maybe something els wrong with me?
Linda
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Aug 23, 2013 @ 4:16 pm
I am a 68 yr old woman and had a hysteroscopy and d&c and 5 weeks now am still having mild cramping off and on. Would love to know if anybody else has cramped for this long?
Shirley
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Oct 13, 2013 @ 8:08 am
I am 66 years old and had a D&C four years ago and a hysteroscopy four days ago. I didn't have any real problems the first time but this time the cramping was so bad yesterday I could hardly walk or touch my abdomen. Today it is a little better. I guess as we get older our body takes a little longer to recover. Today I am going to slow the pace but still do regular chores and go for a walk rather than just lay around I have to go see my doctor Tuesday and I will mention the cramping at that time. I also have a hernia so that could be causing some of he pain. I did see one lady said they used propofol and toradol. Be very careful it cause me to have a bleed to the stomach.
Liz
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Nov 30, 2013 @ 11:23 pm
Hi my name Liz. I had a partial hysteroscopy, over 1 year ago. They removed my uterus and left my overies. I still feel like I have monthly cycle minus the bleeding. The problem is my right overy. My overy was stuck to my intestine they detached it. I don't know if it's my intestine or my overy giving me problems. It hurts when I get gas. It's a sharp pain it lasts over a week. Sometimes it happen out of nowhere depending on what I eat.
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Apr 8, 2014 @ 11:11 am
I'm 39 I had a hysteroscopy 8 days ago I feel blodding plus I have fluid discharge. I think its urine but not sure. My doctor have me keflex for infection so that's what he said if was,but I still have thoughts.
Geffron
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Apr 18, 2014 @ 8:08 am
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