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Hysteroscopy With End Biopsy

  • Posted on- Dec 20, 2017
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Hysteroscopy can be defined as the process of inserting a small-diameter device inside the uterus. This device has a light and a small camera on the end to allow the doctor to see inside your uterus.

Your doctor can recommend this process for several reasons. It can be used for either surgical or diagnostic purposes. It may be used:

What is hysteroscopy used for?

A hysteroscopy may be used to try and determine the cause of various problems such as:

As well as being used to investigate the cause of various problems, it can also be used to:

  • Remove polyps - small lumps of tissue growing on the lining of the womb (uterus).
  • Remove scar tissue in the uterus.
  • Perform endometrial ablation - a procedure where the lining of the womb is made thinner in order to prevent heavy periods.
  • Remove adhesions (areas where the walls of the uterus are sticking together).
  • Remove non-cancerous growths (fibroids) in the uterus.
  • Locate a 'lost' or stuck contraceptive device, such as an intrauterine contraceptive device (IUCD) - also known as a 'coil'.
  • Perform certain types of sterilization procedures.

Before you have the procedure your doctor will talk to you about the test. Your doctor may discuss a number of different treatment options with you. This is because it may be possible to treat the cause of your symptoms immediately, using the hysteroscope. In order to do this, you must agree (consent) to the treatment. It is up to you to decide which treatment option is best for you.

What happens during a hysteroscopy?

In some hospitals, you may have an ultrasound scan before you have the hysteroscopy. Hysteroscopy procedure can be performed under general anesthetic. During the surgery, you will be asleep by giving you general anesthetic. Many women will not have either a general or local anesthetic. Occasionally, a sedative may be used, which won't put you to sleep but may help you feel more relaxed. You may be advised to take a non-steroidal anti-inflammatory painkiller around one hour before your appointment to help reduce pain immediately after the procedure. Having a general anesthetic can be asked to have a view over the pictures. Some people do not wish to do this but others find it helpful.

Doctor shall use a spectrum to visualize that he or she can view the neck of their womb. More often the hysteroscopy will be passed into your vagina without having to use a speculum.

An instrument called hysteroscopy is sent inside your uterus which is connected to the monitor so that overview could be visualized inside the uterus. A little amount of gas or fluid may be pumped into your uterus to make it swell a little. This makes it easier to see the lining of your uterus. Although doctor could take out a part of tissue from your uterus. This will be sent to the laboratory for examination under the microscope. Sometimes small lumps (polyps) are found. After the completion of process hysteroscopy is gently removed.

A hysteroscopy takes between 5-30 minutes.

Hysteroscopy

  • Procedure
  • Recovery
  • Cost
  • Complications
  • Outlook

Overview

Hysteroscopy is defined as the process of inserting a device of small diameter into the uterus. This device has a light and a small camera on the end to allow the doctor to see inside your uterus.

It can also happen if the situation arouses which is more likely to the appliance of this procedure. It can be used for either surgical or diagnostic purposes. It may be used:

  • for visual confirmation of another test result
  • to aid in the removal of fibroids and polyps
  • in conjunction with a laparoscopic procedure
  • prior to a dilation and curettage procedure

Procedure

You would be recommended by your doctor to the specialist. The procedure will take place with you in the same position as you're normally in for a gynecological exam, with your feet in the stirrups at the end of the exam table.

During a hysteroscopy:

  • The doctor will first spread the cervix with a tool called a speculum. It is similar to what happens during a gynecological exam.
  • The doctor will then insert the hysteroscopy device in through your vaginal opening. They will continue moving it through the cervix and then into the uterus.
  • A gas is inserted in the uterus through the device to clear the surface gentle and swell it slightly.
  • The light and camera on the end of the hysteroscopy allow the doctor to see the uterus and fallopian tubes.

If the process is implied for the surgery, then the devices used for the surgery will be passed through the hysteroscopy tube for the performance of surgery.

The procedure shouldn't be painful. However, you can experience some retardants during the procedure. Your doctor may order some type of sedative for you to take beforehand so that you'll be more relaxed. The purpose of anesthesia needed will be dependent on the purpose of your hysteroscopy. This procedure also matters on where your hysteroscopy is performed. It can be done either in your doctor's office or at a hospital.

Time taken by the procedure differs from 5 minutes to 30 minutes, it depends on kinds of procedure performed. For only simple diagnostic process hysteroscopy could be examined within your doctor's office with just local or regional anesthesia. This is typically true for the simple removal of small polyps as well. In that case, the doctor will use a regional or general anesthesia, depending on the extent of the surgery that's required.

Recovery

Somehow, there are various things which are common after any hysteroscopy procedure. You may experience the following:

You'll be able to eat or drink immediately following the hysteroscopy.

If the procedures performed in the doctor's office is with just local anesthesia, then it will take a less than 1 hour to reach you at your home.

If general anesthesia is given by your doctor then it is an outpatient procedure. You'll be able to return home after a few hours. It will require one only local night at the hospital by your doctor to check-out the reaction of anesthesia. Pain reliever pills could be provided in some cases to get soon recovery.

If you are operated with the surgery then your doctor will suggest you to take rest for two to three days before shifting into normal schedule. Follow your doctor's instructions for recovery. For a hysteroscopy that isn't purely diagnostic, you should refrain from sexual activity for about a week. This helps reduce the chance of infection.

Cost of a hysteroscopy

You can expect the cost of a hysteroscopy to range from 48,532-2,26,486 Rupees. The cost of hysteroscopy depends on the length of the procedure. For betterment a simple diagnose is more prominent then addicting a strong surgery. Money required in this procedure can refer to a higher range if you have a more extensive procedure which includes surgery in the hospital and general anesthesia. Costs for these extensive procedures can be up to $7,000.

Some health insurance carriers will cover a hysteroscopy, at least partially, when it's considered medically necessary. Coverage varies from policy to policy, so talk to your insurance carrier to determine your out-of-pocket costs.

Complications:

A hysteroscopy is considered a fairly safe procedure with minimal complications. However, it's still considered surgery. Because of this, there are some possible complications, though they are not common. They include:

  • infection
  • scarring of the uterus
  • heavy bleeding
  • a reaction to anesthesia or the liquid used to clean the uterus
  • any side effects associated with the use of anesthesia

You should contact your doctor immediately if you experience any of the following:

  • heavy bleeding
  • fever
  • chills
  • severe pain

What is my recovery from a Hysteroscopy procedure?

The most common complaint is uterine cramping from a hysteroscopy procedure that can be controlled with pain medications. After the surgery, patient are allowed to move further at their houses and can retain into normal activities after 2 days. The only restriction with hysteroscopy procedure is to avoid anything within the vagina for at least two weeks. If any patient experiences heavy vaginal bleeding, foul discharge, continuous pain or fever, then one should consult his physician immediately.

Hysteroscopy costs minimum Rs. 35000 to Rs. 70000 maximum.

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