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Hysteroscopy

(continued)

How It Feels

If you are given a sedative or a local or regional anesthesia, you may have some cramping during the test. If you have general anesthesia, you may have a tickling, dry throat, slight hoarseness, or a mild sore throat after the test; these symptoms may last several days. Throat lozenges and warm saltwater gargles can help relieve the throat symptoms.

Some women feel dizzy and sick to their stomachs. This is called a vasovagal reaction. This feeling will go away after a few minutes.

You may need to avoid sexual intercourse, using tampons, or playing sports for a while after hysteroscopy. Talk to your doctor about when you can resume normal activities.

Risks

If a fluid is used during the test to help your doctor see the uterine lining clearly, you may absorb some fluid and feel bloated. It may also change the level of sodium in your blood. If gas is used, you have a small risk for an air bubble (air embolism) in a blood vessel, though this is very rare.

A hysteroscopy can cause injury to the uterus or cervix, an infection, or bleeding. In rare cases, the uterus, bladder, or bowel can be punctured during the test, requiring surgical repair. If general anesthesia is used, there is a small risk of problems from the anesthesia.

After the test

Right after the test, you will be taken to a recovery area where nurses will care for and observe you. Usually you will stay in the recovery area for 1 to 4 hours, and then you will be moved to a hospital room or you will go home. In addition to any special instructions from your doctor, your nurse will explain information to help you in your recovery. You will likely go home with a sheet of care instructions and who to call if you have any problems.

It is normal to have a small amount of vaginal bleeding for a day or so after a hysteroscopy. You also may have some mild belly pain if a gas was used during the test. This should go away in 24 hours. You can take acetaminophen (such as Tylenol) to relieve the pain.

Follow any instructions your doctor gave you. Call your doctor if you have:

  • Heavy vaginal bleeding or discharge (more than a normal menstrual period).
  • A fever.
  • Severe belly or pelvic pain or cramping.
  • Problems urinating.
  • Shortness of breath.
  • Vomiting.

Results

A hysteroscopy is a way for your doctor to look at the lining of your uteruscamera.gif. He or she uses a thin viewing tool called a hysteroscope. Your doctor will talk to you about what he or she sees at the time of the hysteroscopy.

Hysteroscopy
Normal:

The inside of the uterus looks normal in size and shape.

No polyps, fibroids, or other growths are present.

Openings to the fallopian tubes look normal.

Abnormal:

The size or shape of the inside of the uterus does not look normal.

Scar tissue is present in the uterus.

Uterine polyps, fibroids, or other growths are present.

A misplaced intrauterine device (IUD) is found and removed.

The uterine openings to one or both fallopian tubes are closed.

WebMD Medical Reference from Healthwise

Last Updated: October 22, 2012
This information is not intended to replace the advice of a doctor. Healthwise disclaims any liability for the decisions you make based on this information.
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