Outpatient Hysteroscopy

This is also referred to as “office hysteroscopy” and is a same day procedure.

It is the visualization of the inside of the womb with a miniature camera (hysteroscope) passed through the neck of the womb (cervix). This is then projected on a TV screen for both the doctor and patient (if fully alert) to see.

Outpatient hysteroscopy is a DIAGNOSTIC procedure and an additional procedure(s) may be required to treat your condition.

Uses of Outpatient Hysteroscopy

  1. To diagnose submucous fibroids.
  2. To diagnose endometrial polyps.
  3. To diagnose intrauterine adhesions or Ashermanns syndrome.
  4. To retrieve a lost IUCD coil
  5. To investigate abnormal uterine bleeding.

Where is it Done?

  1. To diagnose submucous fibroids.
  2. To diagnose endometrial polyps.
  3. To diagnose intrauterine adhesions or Ashermanns syndrome.
  4. To retrieve a lost IUCD coil
  5. To investigate abnormal uterine bleeding.

Where is it Done?

It is carried out in a consulting room where all required equipment will be set up hence its name “Office hysteroscopy”.

Timing of the Procedure

Ideally, it is best done immediately after your period (usually the first 14 days of your cycle).

Preparation of Procedure

Once it has been agreed to proceed with an outpatient hysteroscopy,

  • A written consent has to be signed prior to the procedure day.
  • Virology (HIV, Hepatitis B&C, and Syphilis) blood test has to be done.
  • Pre procedure analgesia has to be taken at least 1 hour before the procedure.

Concious Sedation

This is a process whereby combinations of medications are given to help you relax (sedation) and block pain (anesthetic) during a medical procedure.

It helps where your threshold for pain is low.

During this period, you are closely monitored.

Recovery is quick and you can return to your everyday activities soon after the procedure.

Procedure

The procedure takes about 5-7 minutes.

A chaperone(s) is usually present.

While lying down, a speculum is passed into the vagina and the cervix is visualized.

Local anesthetic is given around the cervix to reduce pain. A hysteroscope is inserted into the womb and the womb is distended with fluid to visualize the cavity.

Once the procedure is done, the next step in your treatment will be discussed.

Post Procedure

As you might experience light abdominal cramps, pain killers are given.

Antibiotics are also given to prevent infections.

You might experience mild vagina spotting hence it’s advisable to have a sanitary pad handy.

Should you have any concerns about the procedure after being discharged, please feel free to contact us to speak to a doctor.

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