Hysteroscopy & Surgeries for Polyp, Septum, and Adhesion

Hysteroscopy is a medical procedure employed to examine and address the root causes of abnormal uterine bleeding. It involves the utilization of a hysteroscope, a slender, illuminated tube inserted through the vagina to inspect the cervix and the interior of the uterus. During operative hysteroscopy, various interventions, such as the removal of polyps, fibroids, and adhesions, can be performed.

Conditions Addressed by Hysteroscopy

Dr. Amol Rakhade may recommend hysteroscopy to diagnose and manage the following uterine issues:

• Polyps and Fibroids: Polyps are benign growths that form on the inner lining of the uterus (endometrium), often causing irregular bleeding, spotting between periods, and occasionally infertility. Hysteroscopy enables direct visualization and removal of these polyps, termed hysteroscopy polypectomy. Fibroids, also non-cancerous, are tumors that develop in or on the uterine walls, leading to symptoms such as heavy menstrual bleeding, pelvic pain, and pressure. With hysteroscopy, fibroids located within the uterine cavity can be identified and removed, known as hysteroscopy myomectomy. This procedure offers a comprehensive approach to addressing both polyps and fibroids, alleviating symptoms, and improving reproductive health.
• Adhesions (Asherman’s Syndrome): This condition is characterized by the formation of scar tissue (adhesions) within the uterine cavity, often as a result of previous uterine surgeries or infections. These adhesions can cause menstrual abnormalities, recurrent pregnancy loss, and infertility. Hysteroscopy is a valuable tool for both diagnosing and treating Asherman's syndrome by visualizing the adhesions and safely removing them, thereby restoring the normal uterine anatomy and function.
• Septum: A uterine septum is a congenital abnormality where a band of tissue (septum) divides the uterine cavity partially or completely. This can increase the risk of miscarriage, preterm birth, and infertility. Hysteroscopy allows for the direct visualization of the uterine cavity, enabling the identification of septums. Surgical correction of a uterine septum can also be performed during hysteroscopy, helping to improve reproductive outcomes.

Preparation for Hysteroscopy

• Before undergoing a hysteroscopy, our surgeon will prioritize ensuring your suitability for the procedure and addressing any concerns you may have. This begins with a comprehensive review of your medical history and current medications, including any supplements you may be taking. This step is crucial to identify any potential risks or complications associated with the procedure. If you are taking blood-thinning medications like aspirin, we will likely advise you to discontinue them prior to the hysteroscopy to minimize the risk of excessive bleeding during the procedure.
• Following the review of your medical history and medications, we will conduct a series of examinations to further assess your condition and readiness for the hysteroscopy. This typically includes a physical examination and a pelvic exam to evaluate the health of your reproductive organs. Additionally, depending on your individual circumstances, we may recommend a pregnancy test to rule out the possibility of pregnancy, as well as additional diagnostic tests or blood work to gather more information about your condition and ensure the procedure can be performed safely.
• In addition to medical evaluations, we will provide you with detailed instructions to help you prepare adequately for the hysteroscopy. This guidance may cover various aspects of preparation, including recommendations for clothing to wear on the day of the procedure and any specific fasting instructions you need to follow. Following these instructions carefully can help ensure the success of the procedure and reduce the risk of complications.

The Hysteroscopy Procedure

During a hysteroscopy, we will ensure your comfort and relaxation. After changing into a hospital gown, you'll be assisted to position on the exam table. Before the procedure begins, our surgeon may administer anesthesia to help you feel at ease.

The surgeon will gently conduct a pelvic exam to prepare for the hysteroscopy. To allow for the smooth insertion of the hysteroscope, they'll carefully dilate your cervix. Then, the hysteroscope, a slender instrument with a light and camera, will be inserted through your vagina and cervix into the uterus.

To enhance visibility, a mild liquid solution will be introduced through the hysteroscope to expand the uterus and clear any fluids. With the help of the hysteroscope's light, the surgeon will carefully examine the uterine cavity and the openings of the fallopian tubes. If any irregularities are detected, such as polyps or fibroids, the surgeon may utilize specialized surgical instruments through the hysteroscope to address them. The entire procedure can vary in duration, typically ranging from a few minutes to over an hour. The length depends on whether it's primarily diagnostic or if additional procedures, such as laparoscopy, are conducted simultaneously. Generally, diagnostic hysteroscopies tend to be shorter than operative ones.

Recovery and Aftercare

Recovery from a hysteroscopy varies depending on the nature of the procedure, such as whether it was diagnostic or involved operative interventions. If your hysteroscopy included both diagnostic and operative aspects, your recovery time might be longer.

After the procedure, our surgeon will provide specific instructions tailored to your situation. Typically, individuals who have undergone a hysteroscopy are advised to refrain from activities such as douching, sexual intercourse, or using vaginal products like tampons for about two weeks to allow the body to heal properly. Additionally, it's common to be advised against activities like taking baths, swimming, or using hot tubs during the recovery period.

Following the surgeon's guidance diligently is crucial for a smooth recovery and optimal outcomes. If you have any concerns or questions during the recovery process, don't hesitate to reach out for assistance.

Managing Pain and Discomfort

The level of pain experienced during a hysteroscopy can vary widely among individuals. Several factors can influence the degree of discomfort, including the duration of the procedure, the individual's prior childbirth experience, and their level of pre-surgery anxiety. It's crucial to discuss your concerns with us beforehand. We can provide detailed information about what sensations you might experience during the hysteroscopy. Additionally, inquire about the type of anesthesia that will be administered to ensure your comfort throughout the procedure. By discussing these aspects, you can better prepare yourself mentally and physically for the hysteroscopy and alleviate any apprehensions you may have regarding discomfort or pain.

Experience the expertise of Dr. Amol Arun Rakhade, the best Gynae Laparoscopic Surgeon in Nagpur. With unparalleled skill and compassionate care, Dr. Rakhade offers tailored solutions for your needs. Book your consultation today and discover the pinnacle of Gynae Laparoscopic care!