Your Hysteroscopy: What to Expect

Your Hysteroscopy: What to Expect

Welcome! This leaflet provides information about your upcoming hysteroscopy. Our team is dedicated to ensuring you feel comfortable and well-informed throughout the process. Please read this carefully and don't hesitate to ask any questions – we're here to help.

What is a Hysteroscopy?

A hysteroscopy is a procedure that allows your gynaecologist to examine the inside of your uterus (womb). It’s a valuable diagnostic tool used to investigate various conditions, including abnormal bleeding, recurrent miscarriages, and to remove polyps or fibroids.

During a hysteroscopy, a thin, telescope-like instrument called a hysteroscope is gently passed through your vagina and cervix (the opening to your uterus). This allows your surgeon to view the uterine lining on a monitor. The procedure is minimally invasive and usually doesn't require any incisions.

Anaesthesia Options: Choosing What's Right for You

The type of anaesthesia you receive will depend on several factors, including the complexity of the procedure, your overall health, and your preferences. Here's a breakdown of the options:

• Local Anaesthesia (with or without Sedation): For simpler hysteroscopies, a local anaesthetic may be injected near the cervix to numb the area. Sedation (often intravenous) can be added to help you relax and feel comfortable. You’ll be awake but drowsy.
• General Anaesthesia: This involves medication that makes you unconscious and prevents you from feeling any pain or discomfort. It’s often used for more complex procedures or if you feel anxious about being awake during the examination.
• Spinal Anaesthesia: This numbs the lower half of your body through an injection in your lower back. You’re usually awake but feel no pain below your waist. Sedation can be combined with spinal anaesthesia to promote relaxation.

Your Anaesthetist Consultation: You will have a consultation with our experienced anaesthetist before your procedure. They will discuss your medical history, assess your suitability for each anaesthetic option, and answer any questions you may have. Together, you’ll choose the most appropriate and comfortable approach.

What to Expect Before Your Procedure

• Pre-Assessment: You're likely to have a pre-assessment appointment to review your medical history and discuss any concerns.
• Medication Review: Please inform us of all medications you are taking, including over-the-counter drugs and supplements. Some medications may need to be adjusted or stopped before the procedure.
• Fasting Instructions: You will receive specific instructions about when to stop eating and drinking before the procedure. This is crucial to prevent complications during anaesthesia.
• Lifestyle Considerations:
  • Smoking: Quitting smoking, even for a short period, can improve healing and reduce the risk of complications.
  • Alcohol: Limit or avoid alcohol consumption in the days leading up to the procedure.
  • Healthy Diet: Eating a balanced diet can support your overall health and recovery.
• Dental Hygiene: Good oral hygiene is important to minimise the risk of infection.
• Transportation: Arrange for a responsible adult to drive you home after the procedure, especially if you receive general anaesthesia, spinal anaesthesia, or sedation. You should not drive or operate machinery for 24 hours after receiving these types of anaesthesia.

What to Expect After Your Procedure

• Recovery: Most women experience a quick recovery from hysteroscopy.
• Discomfort: You may feel some cramping or discomfort, similar to period pains. Over-the-counter pain relievers (such as paracetamol) are usually sufficient.
• Bleeding: Light bleeding or spotting is common for up to a week after the procedure. Use sanitary towels instead of tampons.
• Fatigue: If you receive general anaesthesia, you may feel tired for a day or two.
• Driving & Work: You should not drive for 24 hours after anaesthesia or sedation. Most women take one or two days off work.

When to Contact Us

Contact your gynaecologist or our clinic immediately if you experience any of the following:

• Severe pain not relieved by pain medication
• Heavy bleeding or large clots
• Foul-smelling vaginal discharge
• High fever (38°C or higher)

Frequently Asked Questions (FAQ)

Q: Will the procedure be painful? A: While you may feel some discomfort, the procedure is generally not painful, especially with appropriate anaesthesia and pain management.

Q: How long does the procedure take? A: The procedure itself usually takes between 10-30 minutes, but the total time spent at the clinic will be longer, including preparation and recovery.

Q: Can I have a hysteroscopy if I’m pregnant? A: Generally, hysteroscopes are not performed during pregnancy unless there is a specific medical need.

Q: What are the risks associated with hysteroscopy? A: Risks are minimal but can include bleeding, infection, and uterine perforation. Our team takes every precaution to minimize these risks.

Glossary of Terms

• Cervix: The opening to the uterus.
• Fibroids: Non-cancerous growths in the uterus.
• Hysteroscope: The thin, telescope-like instrument used for the procedure.
• Perforation: A rare complication where the hysteroscope accidentally punctures the uterine wall.
• Polyps: Small growths on the uterine lining.
• Sanitary Towels: Absorbent pads used to collect menstrual flow.
• Uterus: The womb.