Diagnostic hysteroscopy is a minimally invasive procedure used to examine the inside of the uterus. Performed with a hysteroscope—a thin, lighted tube inserted through the vagina and cervix—this procedure provides clear visualization of the uterine cavity.

Procedure:

• i. Anesthesia: The procedure is typically conducted under local, regional, or general anesthesia.
• ii. Insertion: The hysteroscope is gently inserted through the vagina and cervix into the uterus.
• ii. Visualization: Direct imaging of the uterine cavity allows for precise diagnosis of various uterine conditions.

Treatment:

• i. Immediate Treatment: Some conditions, such as polyps or small fibroids, can be treated during the same procedure.

Recovery:

• i. Post-Procedure: Most patients resume normal activities within one to two days. Mild cramping or spotting may occur afterward.

Diagnostic hysteroscopy aids in accurate diagnosis and helps guide effective treatment, enhancing patient outcomes.

A hysteroscopy polypectomy is a procedure to remove polyps from the uterus using a hysteroscope—a thin, lighted tube inserted through the vagina and cervix. This allows the doctor to view and treat uterine conditions on a monitor.

Procedure:

• i. Insertion: The hysteroscope is inserted through the vagina and cervix into the uterus.
• ii. Examination: The uterus is filled with saline to expand it and improve visualization.

Recovery:

• i. Post-Procedure Care: Patients are monitored briefly and usually go home
  the same day.
• ii. Symptoms: Mild cramping, spotting, or light bleeding may occur for a few
  days.
• iii. Follow-Up: A follow-up appointment is scheduled to review lab results and
  assess healing.

Benefits:

• i. Minimally Invasive: Faster recovery and less pain compared to traditional surgery.

Risks:

            1. Infection: Minimal risk.

            2. Uterine Perforation: Rare risk of puncturing the uterine wall.

Hysteroscopy fibroid resection is a minimally invasive procedure to remove fibroids from inside the uterus. Using a hysteroscope—a thin, lighted tube—doctors view and remove fibroids through the vagina and cervix.

Why is it done?

Fibroids are benign tumors caused by muscle overgrowth in the uterine wall. Affecting 30-40% of women, they often don't require treatment but can cause symptoms like heavy bleeding, pain, or infertility, making removal beneficial for symptom relief.

What to Expect After Surgery:

The procedure lasts 30 minutes to an hour. Expect lighter, more regular periods over 2-3 months and possible improvement in fertility. Post-surgery, you'll experience mild cramping and minor bleeding. Most patients return home the same day.

Risks:

Risks include excessive bleeding, infection, organ perforation (1-2 in 1000), and excessive fluid absorption (1-5%). These are typically manageable with proper care.

Hysteroscopy for IUCD removal is a minimally invasive procedure to extract a misplaced intrauterine contraceptive device (IUCD). This technique is preferred for its precision and reduced risk of complications compared to traditional surgery, leading to quicker recovery.

Preparation:

Anesthesia, either local or general, is administered to ensure comfort throughout the procedure.

Procedure:

       1. Insertion: A hysteroscope—a thin, lighted tube with a camera—is inserted through the vagina and cervix into the uterus.
       2. Location and Removal: The hysteroscope allows the doctor to locate the misplaced IUCD. Specialized instruments are used through the hysteroscope to grasp and remove the device.

Post-Procedure Care:

After removal, the doctor checks for any remaining device fragments. Patients are monitored briefly and can typically go home the same day. Mild cramping or spotting for a few days is normal.

Follow-Up:

A follow-up appointment ensures proper recovery and discusses future contraceptive options.

Uterine septum correction addresses infertility caused by a septum in the uterus, requiring surgery for structural issues that medication cannot resolve.

Procedure:

• i. Anesthesia: General anesthesia is used.
• ii. Preparation: The cervix is dilated with sterile saline for clear visualization and room to work.
• iii. Insertion: A hysteroscope (a thin, lighted tube) is inserted through the vagina to the uterus, avoiding external incisions.
• iv. Correction: Instruments are introduced through the hysteroscope to cut or resect the septum and remove excess tissue, enhancing the uterus for fertilization.

Recovery:

• Post-Surgery: You can leave the same day with a driver. Mild cramping or spotting is normal; pain medication is provided but often needed for only 24 hours.
•  Follow-Up: Avoid heavy lifting, intense exercise, and intercourse for at least two weeks. Contact your doctor if you experience heavy bleeding, severe cramps, or other concerning symptoms.

Success Rate: Around 60% of women conceive successfully after surgery.