Hysteroscopy

Information about a endoscopic examination through the vagina.

Endoscopic examination through the vagina (hysteroscopy).

This instruction is for you who are to have a hysteroscopy at the out-patient clinic at the Fertility Clinic.

IMPORTANT: You must not be pregnant when we perform the
examination

Hysteroscopy is performed in the following cases:

  • Suspicions of polyp/fibroid
  • Recurrent miscarriages or recurrent egg transfers not resulting in pregnancy
  • Adhesions in the uterine cavity after prior surgical procedures or infections
  • Undisclosed dysfunctional uterine bleeding

Before the procedure:

Period-like pain can occur during and after the examination. We therefore recommend you take the following pain killers approximately 1 hour before the procedure:
2 tablets of Panodil/Pinex (Paracetamol) 500 mg and 2 tablets of Ipren (Ibuprofen) 200 mg. The pain killers are available as over-the-counter drugs.

You can still take your usual medicine, unless otherwise has been advised. We recommend you eat breakfast before arrival. Dress comfortably. The entire stay will last 1 hour, the examination itself takes 20-30 minutes.

At the out-patient clinic:

We kindly ask you to arrive early and use the bathroom before called upon, as the procedure is most easily performed on an empty bladder. Report your arrival to the secretaries at the reception. The Doctor/Nurse will answer any questions before the procedure.

The examination:

You will be placed in gynaecological stirrups and be able to talk to the staff during the procedure. The doctor will start by an ultrasound scan through the vagina. We will either perform the examination with a thin hysteroscope (3mm), where it will not be necessary to dilate the cervix. Alternatively, the examination will be performed with a larger hysteroscope (5mm), where it is necessary to dilate the cervix. Before we dilate the cervix, we will apply local anaesthesia.

In the beginning it can become tense and itch a little, but hereafter the pain sensation will disappear in the area. The cervix will gradually be dilated, so the hysteroscope can be inserted. The examination itself is done looking through the scope to visualise the uterine cavity from the inside, while flushing with a saline solution. It should usually only feel a bit uncomfortable like when you have your period.

If a polyp is found, it can be removed with a small loop. Alternatively, we will take a sample from the uterine lining. In a few cases we will not be able to remove the polyp or fibroid, and in that case, you will get a new appointment for a hysteroscopy at the gynaecologic department. Tissue removed during the examination, will always be examined under a microscope. You will receive your answer after approximately 3 weeks.

Before you leave the clinic, it will be decided how you are going to receive your examination results. For instance, through E-boks).

Can complications arise?

There will always be a small risk of complications. Fortunately they will most often pass. It is normal to experience pain and bleeding equivalent to that of a period the first few days after the examination. There is a small risk of infection, this can be treated with antibiotics. In rare cases a small hole is created in the uterine wall during the examination, which will however most often retract itself
and heal on its own.

After the procedure it is normal/not unusual to:

  • Experience some bleeding, sometimes until the next period.
  • The first period will be more heavy than usual.
  • You can experience pains in your abdomen up until a week after the procedure. If you need pain killers, we recommend Panodil (Paracetamol) and/or Ipren (Ibuprofen).

Good advice:

We advise that you refrain from sexual intercourse, bathtubs and swimming pool/sea bathing, for the first two weeks after the examination. You ought to use pads and not tampons.

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