hysteroscopy
What is Hysteroscopy? How is it done and why is it important?
hysteroscopyIt is the name given to the imaging of the inside of the uterus and the areas where the tubes open into the uterus with a special device that is thin, illuminated and has a camera system. The device used in this processhysteroscopeIt is called. Hysteroscopy can be performed both to make a diagnosis and to treat some intrauterine problems in the same session.
"Hysteroscopy offers the opportunity to evaluate the inside of the uterus by viewing it directly, not by guessing. Therefore, it provides an important road map for the physician in both diagnosis and treatment planning."
Article Summary
The issue of hysteroscopy should be addressed by evaluating the person's complaints, examination findings and needs together. In this article, the basic points about Hysteroscopy, the diagnosis-treatment process and things to consider are summarized.
What Will You Find in This Article?
- What is Hysteroscopy? How to do it and why is it important?:This section explains basic information on the subject, the evaluation process and points to consider.
- How is Hysteroscopy Done?:This section explains basic information on the subject, the evaluation process and points to consider.
- What are the Types of Hysteroscopy?:This section explains basic information on the subject, the evaluation process and points to consider.
- When Should Hysteroscopy Be Performed?:This section explains basic information on the subject, the evaluation process and points to consider.
How is Hysteroscopy Done?
hysteroscopyIt is performed by passing through the cervical canal through the vaginal route and reaching the uterus. During the procedure, a thin camera system called a hysteroscope is advanced into the uterus and images are transferred to a monitor. Thus, the physician can directly observe the inside of the uterus.
When planning gynecological surgery, complaints, examination findings, imaging results and the patient's pregnancy expectation should be evaluated together [1][3].
The way the procedure is performed may vary depending on the patient's condition, the scope of the procedure to be performed, and the physician's evaluation. Hysteroscopy can be performed in the following conditions:
- With local anesthesia in the office environment,
- With general anesthesia in the operating room,
- With spinal anesthesia in the operating room.
Before the procedure, oral or vaginal medication may be used in some patients to facilitate the opening of the cervix. When necessary, the cervix can be carefully dilated with thin instruments called bougies.
After the hysteroscope is placed in the uterus, fluid is administered for better visualization of the uterine cavity. In this way, the uterine walls are separated from each other and problems such as polyps, myomas, adhesions or deformities can be evaluated more clearly. If a problem requiring treatment is detected during the procedure, intervention can be performed with special surgical instruments passed through the hysteroscope.
What are the Types of Hysteroscopy?
Hysteroscopy is generally divided into two main groups:diagnostic hysteroscopyAndoperative hysteroscopy.
Minimally invasive approaches may not be suitable for every patient; The decision to operate should be made according to the type of disease, its extent, and the goals of surgery [1][2].
- Diagnostic Hysteroscopy:It is performed to evaluate the inside of the uterus. In cases such as abnormal bleeding, infertility, recurrent miscarriage or suspicious findings on ultrasound, the inside of the uterus is examined directly.
- Operative Hysteroscopy:It is applied to treat problems such as polyps, myomas, adhesions or septum detected during diagnosis. In this procedure, intervention can be performed by passing special surgical instruments through the hysteroscope.
When Should Hysteroscopy Be Performed?
The best time for hysteroscopy is usually the first week after the end of menstrual bleeding. During this period, the inside of the uterus can be seen more clearly; Since there is no bleeding, the cavity can be evaluated more easily, and since the intrauterine tissue has not yet thickened significantly, structures such as polyps or myomas can be noticed more easily.
Preoperative preparation should take into account the risk of bleeding, risk of infection, medications used, and anesthesia evaluation [2][3].
However, the timing is not the same for every patient. In cases such as excessive uterine bleeding, need for urgent diagnosis or treatment planning, the physician may prefer a different timing. Therefore, when hysteroscopy will be performed should be determined individually.
In Which Situations Is Hysteroscopy Used?
The main situations in which hysteroscopy can be used are:
Postoperative follow-up; It should be planned in terms of pain, fever, bleeding, wound healing and the process of returning to daily life [1].
- Investigating the cause of abnormal menstrual bleeding or breakthrough bleeding,
- Diagnosis and treatment of intrauterine polyps,
- Evaluation and removal of myomas growing into the uterus,
- Investigating the causes of recurrent miscarriages,
- Evaluation of infertility or recurrent in vitro fertilization failures,
- Diagnosis and treatment of intrauterine adhesions, namely Asherman syndrome,
- Evaluation of congenital uterine anomalies, especially the uterine septum,
- Removal of the spiral that has entered the uterus or whose rope cannot be seen,
- Taking biopsies from suspicious intrauterine tissue areas,
- Clarification of abnormal ultrasound or HSG findings.
What are the advantages of hysteroscopy?
Hysteroscopy provides a significant advantage in many cases as it allows direct imaging of the inside of the uterus. No incision is made in the abdomen during the procedure; The uterus is reached through the vaginal route. Therefore, the recovery process is rapid in most patients.
- It allows viewing of the inside of the uterus without making an incision.
- Diagnosis and treatment can be done in the same session.
- Problems such as polyps, small myomas or adhesions can be directly intervened.
- Long-term hospitalization is often not required.
- The recovery process after the procedure is usually quick.
- It can increase diagnostic accuracy because intrauterine problems are seen directly.
“The most important advantage of hysteroscopy is that it can not only visualize the problem inside the uterus but also treat it in the same session in suitable patients.”
What Should Be Considered After Hysteroscopy?
- Light Bleeding:There may be spotting or light bleeding for a few days after the procedure. It is recommended to use sanitary pads instead of tampons in this process.
- Sexual intercourse:Sexual intercourse should be avoided as long as bleeding and pain continue. If an operative procedure has been performed, the period recommended by the physician should be followed.
- Vaginal Douche and Tampon:To reduce the risk of infection, vaginal douche and tampon use should be avoided.
- Return to Daily Life:After diagnostic hysteroscopy, many patients can return to daily life in a short time. If general anesthesia or surgical intervention was performed, the rest period may be longer.
In case of excessive vaginal bleeding, foul-smelling discharge, fever, severe abdominal pain or gradually increasing pain, you should consult a physician immediately.
Is Hysteroscopy a Risky Procedure?
Hysteroscopy is a minimally invasive procedure that is generally considered safe. However, as with every medical procedure, there are some risks. Rarely, infection, bleeding, damage to the uterine wall, uterine perforation, or complications related to the fluid used may occur. Risk level; It may vary depending on whether the procedure is diagnostic or operative, the general health condition of the patient and the scope of the intervention to be performed.
Recovery Process After Hysteroscopy
The recovery process after hysteroscopy is usually quick. Many patients who undergo diagnostic hysteroscopy can return to their daily activities the same or the next day. For patients who underwent operative hysteroscopy, general anesthesia or intrauterine surgery, the recovery process may take a few days longer.
The most important point to consider after the procedure is to follow the personal recommendations given by the doctor. Because the recommended rest and abstinence period may change after procedures such as polyp removal, myoma removal or adhesion opening.
What is the Difference Between Hysteroscopy and Endometrial Biopsy?
In other words, while endometrial biopsy helps make a diagnosis with a tissue sample, hysteroscopy allows direct evaluation of the uterus and, if necessary, a targeted biopsy.
Frequently Asked Questions
After diagnostic hysteroscopy, many patients can return to daily life on the same day or the next day. However, if operative hysteroscopy, general anesthesia or surgical intervention was performed, the rest period may vary depending on the physician's recommendation.
Yes. Intrauterine polyps, myomas, septum, adhesions or intrauterine deformities may affect pregnancy formation or continuation of pregnancy. Hysteroscopy can be used in the diagnosis and treatment of these conditions.
Yes. Intrauterine polyps can be removed by direct visualization during operative hysteroscopy. This is one of the important advantages of hysteroscopy, which can provide both diagnosis and treatment.
Light spotting or a small amount of bleeding may be normal after the procedure. However, in case of heavy bleeding, foul-smelling discharge, fever or severe pain, a physician should be consulted.
Hysteroscopy Prices 2026
Hysteroscopy prices; It may vary depending on whether the procedure is diagnostic or operative, the type of anesthesia, hospital or clinic conditions, whether additional procedures such as polyp or myoma removal are performed, and whether pathology examination is required.
The most accurate information about current hysteroscopy prices in 2026 can be given through a personal evaluation after the examination. Because each patient's needs, scope of procedure and treatment plan are different.
Conclusion
Hysteroscopy is an important gynecological method for diagnosis and treatment that allows direct visualization of intrauterine problems. Your physician may recommend hysteroscopy in cases of abnormal bleeding, infertility, recurrent miscarriage, polyps, myomas, intrauterine adhesions or suspicious ultrasound findings.
To get detailed information about hysteroscopy, intrauterine evaluation, abnormal bleeding or pregnancy planning, you can request an appointment and information on nazlikorkmaz.com.