Dr Reshma Reddy

Hysteroscopy – Purpose, Process and Pain

Catagory: Maternity  Author: Dr E Reshma Reddy


With the kind of life that we all lead nowadays, ailments and problems are very prevalent. The plague of the modern lifestyle also affects women. The increased number of women experiencing problems like unusual bleeding and excruciating cramps makes this obvious. Yes, these problems are caused by more than just our deteriorating lives. However, it is crucial to take action to address such issues. This stage can be a hysteroscopy. 


Why is a hysteroscopy performed? What is it? 

A doctor can use a hysteroscopy to get a closer look at the cervix and the uterus to check for issues. 

These are the issues that cause unusual bleeding and excruciating cramps, which are common complaints among modern women. If you fall into this category, a hysteroscopy will allow your female doctor to better understand your reproductive health and provide you with care. 

If you see atypical Pap results, fibroids, scarring on your uterus, or if your IUD (intrauterine device)  has moved out of place, you could also need a hysteroscopy. If you’ve experienced more than one miscarriage or are having trouble becoming pregnant, the procedure will help your doctor diagnose and treat the reason. 

A hysteroscopy may also be necessary if your female doctor requests a biopsy (a tiny tissue sample removed for closer examination) of your uterine lining. The many forms of hysteroscopy you might need to have been performed with the use of a hysteroscope, which is a narrow tube with a tiny light at the front. 

  • Procedure for Hysteroscopy and Pain 
  • Hysteroscopy Types 

There are generally two types of hysteroscopies: Diagnostic and surgical. 

Diagnostic hysteroscopy, as the name implies, is used to find uterine issues as well as to validate the accuracy of the findings of other examinations. Additionally, it is combined with other procedures like laparoscopy or a D&C. (dilation and curettage). On the other side, operative hysteroscopy is used to treat issues that were found during diagnostic hysteroscopy. This requires more time because it comes after a diagnostic one. 


What is the Hysteroscopy Step-by-Step Procedure?

Step 1: The doctor gives you a sedative so that you can unwind and endure the discomfort. She could also provide anaesthetic to you if necessary. 

Step 2: The doctor will implant a device called a Sim’s Speculum in the cervix for a better and clearer view of the region after making sure you aren’t in too much pain. 

Step 3: The cervix is then widened using Cervical Dilators, which create a clear passage to the uterus and fallopian tubes. This procedure reduces the possibility that the cervix may sustain damage. 

Step 4: The hysteroscope is gently moved via the vagina into your uterus after there is enough room for it to be implanted. 

Step 5: After that, the doctor inserts a liquid that expands the uterus and removes any blood or mucus that may be there. 

Step 6: After the uterus has been cleansed and the tube has been positioned, the doctor may examine the lining of the uterus using the light on the hysteroscope’s end. To get an accurate diagnosis, she also examines the fallopian tube opening. 

If it is an operative hysteroscopy, the last step is to insert tiny tools via the hysteroscope into the uterus. 

The entire process might take anywhere from a few minutes to many hours. If it is a diagnostic hysteroscopy, it should just take a short while. The process is likely to be prolonged if combined with other procedures, such as laparoscopy. 


Does a Hysteroscopy Hurt? 

Hysteroscopy does cause discomfort. However, the operation’s initial stage helps ensure that the discomfort is not too intense. The doctor will next provide a sedative or anesthetic to numb your body and block your perception of the pain. 

Your amount of pain going forward will depend on the type of anesthetic used to generate it. Your entire body will remain paralysed if general anesthesia is used during the treatment. For a few hours, a regional anesthetic will numb the majority of your body that is most likely to be impacted.  A local anesthetic only affects a limited area of the body and only temporarily.

It is crucial that only a qualified medical professional operates on you since she will be aware of the best anesthetic to employ, if any at all, during the procedure. Consequently, you will have the least amount of discomfort possible. 


How dangerous is hysteroscopy? 

If sterile measures are not strictly adhered to, infection symptoms following hysteroscopy may also be apparent in addition to the discomfort. There may also be problems like pelvic inflammatory disease and intrauterine scarring. 

Additionally, the anesthetic used during the treatment as well as the fluids utilised may have an adverse effect on your health. After the surgery, make sure you have a driver because the anesthetic will leave you sleepy and unable to operate a vehicle. 

Although uncommon, it is possible for the cervix or adjacent organs like the colon, bladder, or ovaries to be damaged. One or two days of light bleeding and mild discomfort are usual possibilities. 

With the use of some preventative measures, all these dangers may be minimised. The greatest option would be to have a thorough discussion with your knowledgeable and dependable doctor. In order to give you personalised preparations, preventions, and precautions related to hysteroscopy,  the doctor has to thoroughly study your condition. 

Although certain dangers are associated with the operation, hysteroscopy can be very helpful in avoiding the much riskier hysterectomy. It may also assist in preventing a potential “open”  abdominal surgery. 

Hysteroscopy is a small surgery, thus compared to other important medical procedures, it takes less time to recuperate and less time to stay in the hospital. 


The Conclusion 

Despite certain concerns, hysteroscopy is a very important surgery for women who are dealing with irregular bleeding and other associated problems. 

Therefore, it is important to reiterate that a good women doctor may be of great assistance to you with her experience and knowledge. She will make you comfortable during the entire treatment and conduct the surgery with ease. Consequently, assisting you in treating your problems and living a  happier, healthier, and problem-free existence.