Diagnostic Hysteroscopy D & C
Under an anaesthetic, the cervix is carefully widened until there is enough room to pass a telescope into the womb. The womb is then filled with fluid, which gives a better view of the inside. The telescope is used to see if there is anything abnormal inside the womb. The fluid is then drained out.
The lining of the womb is usually scraped to collect cells. These cells are then sent to Pathology and examined under a microscope. If there are any abnormalities such as polyps, fibroids, ovarian cysts, these will also be removed. The lining of the womb may also be removed.
General Risks Of A Procedure
- Small areas of the lungs may collapse, increasing the risk of chest infection. This may need antibiotics and physiotherapy.
- Clots in the legs (deep vein thrombosis or DVT) with pain and swelling. Rarely part of this clot may break off and go to the lungs which can be fatal.
- A heart attack because of strain on the heart or a stroke. (Very Rare)
- Increased risk in obese people of chest infection, heart and lung complications and thrombosis.
- Increased risk in smokers of chest infections, heart and lung complications and thrombosis.
Risks Of This Procedure
- Bleeding that can be so heavy that a blood transfusion may be needed. It may also need further surgery. (Rare)
- The womb may be perforated - either by the instruments used to widen the cervix or by the telescope (in 1 in 50 to 1 in 100 women). This does not usually cause any long term problems. Very rarely, it can cause peritonitis, severe bleeding or bowel injury, which may need removal of the womb, or repair of the bowel. A longer hospital stay will result. If the bowel has to be repaired, the bowel may be brought out onto the abdomen so that waste can drain into a bag worn over the end of the bowel (known as a colostomy).
- Rarely, the procedure may not be able to be completed, due to narrowing of the inside of the cervix. If the condition continues, further surgery will be necessary.
- Infection in the uterus. This can cause heavy bleeding or discharge, worsening cramps or high fevers. The infection may affect the tubes and cause problems with getting pregnant in the future. Antibiotics are used to treat the infection.
After hysteroscopy, you can expect to get:
- Some light vaginal bleeding or discharge, which can last from a few days to a few weeks.
- Lower abdominal cramps over the first few days
You will usually go home the same day of the operation. You will need to rest at home for a few days and during this time, will not be fit to work.
I Must Tell My Doctor If I Have:
- Heavy bleeding or discharge
- Pain which gets worse
- High fever