A Hysteroscope is a tiny telescope to visualise the inside of the womb. It is also called as a gynaecologists’ stethoscope.
The Consultant Gynaecologist with the help of the hysteroscope can see the problem first hand with a direct eye examination along with magnification possible with the tool.
If any woman after menopause starts experiencing bleeding, the problem can be better assessed with the help of a hysteroscope.
Hysteroscopy helps women who have had the following conditions:
- Failed IVFs
- Abnormal periods
- Heavy periods
- Light periods (Asherman’s syndrome)
- Lost coil
It has also proved to be helpful:
- As a diagnostic test prior to operative intervention such as removal of polyps and fibroids
- To assess the uterine cavity after repeated miscarriages
- To accurately identify uterine developmental abnormalities
The modern trend is to offer hysteroscopy in the outpatient environment where a tiny hysteroscope (which has a diameter of ball point pen refill) and no other traditional equipments such as speculum or any anaesthetic is used. This technique is called “ No touch technique”
The procedure as such takes less than five minutes.
At the most some women feel lower abdominal cramps, before they realise this the procedure is already completed.
Women can eat and drink as normal.
They can take simple painkiller tablets about half hour prior to the procedure. Sometimes, tablets called Misoprostol are used to soften the neck of the womb.
The patient is provided with information leaflet and will be asked to sign a consent after explaining the procedure and answering all her questions.
Once patient is ready, she will be helped to get ready for the procedure by the assisting nursing staff on an examination couch.
The procedure is done with constant feedback from the patient. Also, if patient is keen to know of what the doctor is intending to see, will be shown and findings explained there and then.
Also, few still pictures of the uterine cavity may be taken to explain the finings to the patient and also for future reference.