LAPAROSCOPIC cerclage placement can be performed prior to conception or in early pregnancy. Preconception placement provides optimum exposure and reduces risks of excessive bleeding and injury to the pregnancy
Abnormal Pap test results.
Abnormal uterine bleeding.
Bleeding after menopause.
Diagnose the cause of infertility or repeated miscarriages.
Examine and remove uterine scarring, polyps, or fibroids.
Find and remove displaced IUDs (intrauterine devices).
Place small birth control inserts into the fallopian tubes.
Removal of a small tissue sample (biopsy).
Removal of endometrial lining.
You can't have a hysteroscopy if you are pregnant.
What happens after a hysteroscopy?
Your recovery will vary based on the type of anesthesia used.
Otherwise, you won't need any special care after a hysteroscopy..You may have cramping and vaginal bleeding for a day or two after the procedure. Report fever, severe abdominal pain, or heavy vaginal bleeding or discharge.
You may also feel pain in your upper belly and shoulder.
Take a pain reliever for soreness as advised by your doctor .
Don't have sex for 2 weeks after the procedure, or as advised by your doctor.
You can go back to normal activity .in 1-2 days .
When should the procedure be performed?
Recommended to schedule hysteroscopy for the first week after your menstrual period.
How long does it take?
The time to perform hysteroscopy can range from less than 5 minutes to more than an hour. The length of the procedure depends on whether it is diagnostic or operative and whether an additional procedure, such as laparoscopy, is done at the same time.
How many incisions are made?
No incisions are made on the outside since the procedure is done via the vagina.
How long do I stay in the hospital?
Patients will normally be able to go home the same day, but in some cases, there may be an overnight stay.
What is the recovery time?
Most patients are fully recovered in 1-2 days. If you have a physically demanding job that requires lifting or pushing heavy objects, check with the doctor before returning to work.
What does a polyp do?
Polyps are prone to bleeding, and a uterine polyp that develops near the fallopian tubes may obstruct the opening of the tubes, possibly leading to difficulty with becoming pregnant. Uterine polyps can develop in pre- or post-menopausal women. Very rarely, polyps can be cancerous.
What are the Symptoms?
Many women who have uterine polyps show no symptoms at all. In others, one or more of the following symptoms may be present:
Irregular menstrual bleeding.
bleeding varying amounts at frequent but unpredictable intervals.
Bleeding between menstrual periods or after intercourse.
Excessively heavy menstrual periods.
Vaginal bleeding after menopause.
How is it diagnosed?
Diagnosis is usually established by curettage (scraping out the womb), and examining the tissue in a laboratory-however, larger polyps may be missed at curettage.
hysteroscopy (where a thin telescopic device is inserted, allowing the surgeon to look inside the womb). It is important that a tissue sample from the polyp be sent for biopsy to rule out cancer.
Hysteroscopy being the gold standard technique gives the exact picture of the polyps and polyps are not missed out.
What is the treatment?
polyps can be removed surgically through a hysteroscopy. A general anesthetic is .given.. Uterine polyps, once removed, can recur. It's possible that you might need to undergo treatment more than once if you experience recurring uterine polyps. If the polyps are found to contain cancerous cells, hysterectomy (removal of the uterus) becomes necessary depending on the cancer stage.
How effective is hysteroscopy?
The old treatment for these growths ranged from the highly invasive hysterectomy for severe cases, to the often ineffective dilation and curettage (D&C).
hysteroscopic polypectomy is effective for endometrial polyps.
Resectoscope with a loop or ablating electrode is passed through the vagina into the uterus. The surgeon uses the resectoscope to remove any growths using an electro-surgical technique.
How Is It Different From Blind D And C?
With direct visualization, a polyp can be removed without disturbing the rest of the endometrium. Prior to hysteroscopy, the polyps were removed by "blind" D&C. A D&C involves scraping the entire lining of the uterus, expecting that the polyp was being removed with the procedure. A blind D&C should be avoided if possible, because there is always a risk of creating scar tissue in the uterus from the procedure.
The hysteroscopic removal of an endometrial polyp is an outpatient procedure. It usually takes less than one hour to complete. Patients are asked to take off work the day of the surgery because of the anesthetic sedation. However, patients are able to return to work on the following day.