16 May 2019 This tube has a camera that transmits enlarged images to a monitor in the room where the examination is performed. It enables your doctor to: Examine the interior of your uterus in detail; Record certain images or even the entire exam. A hysteroscopy may be performed for diagnostic or treatment purposes. How is a hysteroscopy performed? The hysteroscopy is performed with the patient in a gynaecological position : The hysteroscope is inserted via the vagina into the cervical canal and uterus; A local distension is made using a liquid. A hysteroscopy is usually performed without an anaesthetic . However, local anaesthesia can be given in the cervix in order to reduce discomfort. When is a hysteroscopy performed? It is always up to the physician to decide whether a particular exam is needed, based on: Each patient’s individual characteristics; Her symptoms or disease. A hysteroscopy is usually performed to assess uterine functional or morphological womb problems , which include: Irregular cycle or abnormal bleeding; Polyps; Myomas; Staging of malignancies; Diagnosis of malformations. It can also be performed for tubal ligation . What are the limitations of a hysteroscopy? Like any other examination, hysteroscopy may fail to determine lesions and diagnoses, even in a technically correct procedure. Hysteroscopy is contraindicated : In pregnant women; In acute infections; If there is active bleeding. How long does a hysteroscopy take? A hysteroscopy takes about 15 to 45 minutes . Light bleeding may occur for a few days after examination. If it does, avoid : Physical exertion; Sexual intercourse; Taking baths. Are there any side effects, risks or complications? The risks of a hysteroscopy are rare, but they exist, as in any other examination in which devices or medicinal products are used. In order to reduce the risk of complications it is essential to inform your doctor about: Allergies; Other pre-existing conditions; Current treatments. This article was written with the support of physicians and other clinical professionals from the Hospital da Luz network. The content published in the Health Guide is intended for the general public and is provided for informational and educational purposes only. It does not replace individual medical assessment, diagnosis, or personalized clinical advice from a qualified healthcare professional. The content is produced or reviewed by physicians and other healthcare professionals at Hospital da Luz and is based on the knowledge available at the time of publication or the most recent update, as indicated at the beginning of each item.
