Advanced Endoscopy Services | Kulki IVF Center, Jaipur

Endoscopy | Diagnostic Laparoscopy & Hysteroscopy

Diagnostic Laparoscopy & Hysteroscopy

Diagnostic Laparoscopy & Hysteroscopy is a common diagnostic procedure performed for primary and secondary infertility as well as for cases of B.O.H. This comprehensive workup is considered essential for infertility patients, providing crucial information for future treatment decisions and second opinions.

Single-puncture Laparoscopy has been largely replaced by double-puncture Laparoscopy in leading centers worldwide. Both Laparoscopy and Hysteroscopy are meticulously recorded to maintain accurate patient records and guide future treatment protocols.

During Laparoscopy, careful examination of both ovarian fosses is conducted after lifting the tubes to assess for conditions like Endometriosis. Additionally, exploration for Tuberculosis, Endometriosis, and Pelvic Inflammatory Disease (PID) is performed in all cases.

Hysteroscopy involves dilatation of the cervix and flushing of both fallopian tubes with high-pressure fluid to enhance fertility outcomes. Addressing infertility-related lesions such as PCOD, Endometriosis, Adhesiolysis, and Fibroids during the same procedure optimizes treatment efficacy.

Laparoscopy is initiated by introducing a small needle just below the Umbilicus and insufflating Co2 gas into the abdomen. This minimally invasive approach, with tiny incisions, reduces recovery time, discomfort, and visible scarring.

Most patients undergo laparoscopy as an outpatient procedure, typically returning home within 4 to 6 hours. The procedure itself usually takes about 5 to 10 minutes.

Routine charges for Laparoscopy range from Rs. 7,000 to 10,000/- for normal cases without operative intervention.

PCOD Drilling & Hysteroscopy

Performed for Primary & Secondary Infertility & B.O.H.

Patients with obesity, hirsutism, irregular/delayed cycles, anovulation, and infertility often present to us. Transvaginal ultrasound (TVUSG) reveals peripherally placed multiple follicles with hyperthecosis of stroma & enlarged ovaries, indicative of PCOD. In cases of Clomiphene-resistant PCOD, where weight reduction and metformin have been unsuccessfully attempted for six months, PCOD drilling is recommended.

Compared to Gonadotrophin (pure FSH), PCOD drilling offers several advantages: a 60-70% ovulation rate, a 40-50% pregnancy rate, reduced abortion & OHSS risks post-drilling, and decreased requirement of CC.HMG/FSH/hCG following the procedure. The effects of drilling typically last for nine months. Depending on the size of the ovary, 4 to 8 punctures are made on both ovaries. It's crucial to differentiate between a cystic ovary and PCOD.

During laparoscopy, a small needle is inserted just below the Umbilicus, and Co2 gas is insufflated into the abdomen. This minimally invasive approach involves tiny incisions, typically three, less than half an inch in length. One incision is made below the navel, and another near the bikini line. Carbon dioxide gas helps maintain a clear surgical field by keeping intestines & omentum away from organs, facilitating better visualization and maneuverability of laparoscopic instruments.

Patients usually undergo laparoscopy as an outpatient procedure, returning home within 4 to 6 hours. The procedure itself takes about 10 to 15 minutes on average. Recovery is swift, with most patients feeling much better within one day.

Routine charges for laparoscopy range from Rs. 8,000 to 12,000/-.

Endometriosis- Bilateral Chocolate Cyst

Performed for Infertility or pain in the lower abdomen during menstrual periods and painful sexual relations.
Symptoms like dysmenorrhea, dyspareunia, pelvic pain, and infertility are often presented. Endometriosis is the most common cause of infertility diagnosed during laparoscopy. Two different varieties of lesions, pigmented and white fibrotic, are observed. Endometriosis may be poorly detected during laparoscopy, leading to multiple laparoscopies without conclusive results. Proper identification and treatment of endometriosis during laparoscopy are crucial to prevent recurrence and infertility. Increased awareness among gynecologists is necessary for its identification, treatment, and documentation during surgery, followed by aggressive post-operative fertility treatment within nine months, as endometriosis may recur after this period.
Laparoscopic surgery has yielded promising results, with pregnancy rates ranging from 50 to 70% in various series for mild, moderate, and severe endometriosis. Cystectomy is preferred over simple drainage to prevent recurrence. However, if cystectomy dissection is challenging and likely to damage many normal ovarian follicles, drainage and bipolar fulguration of the internal surface of chocolate cyst should be considered. Rectovaginal endometriosis is often left untouched during laparoscopy, highlighting the need for proper identification and dissection of recto-vaginal nodules for pain relief.
Increased awareness will likely lead to the identification of more instances of endometriosis during diagnostic laparoscopy.
During laparoscopy, a small needle is inserted just below the umbilicus, and CO2 gas is insufflated into the abdomen. This minimally invasive approach involves tiny incisions, typically three, less than half an inch in length. One incision is made below the navel, and another near the bikini line. Carbon dioxide gas helps maintain a clear surgical field, allowing better visualization and maneuverability of laparoscopic instruments.
Patients typically undergo laparoscopy as a day-care procedure, returning home within 24 hours. The procedure itself takes about 25 to 75 minutes for a normal laparoscopy and may take 1-2 hours for advanced endometriosis. Most patients begin feeling much better within one day.
Routine charges for laparoscopy range from Rs. 15,000 to 20,000/- in usual cases without complicated interventions.

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Endometriosis – Rectovaginal Diseases

Performed for infertility or severe pain in the lower abdomen during menstrual periods, painful sexual relations, or pain during defecation during periods.
Symptoms such as dysmenorrhea, dyspareunia, pelvic pain, pain during defecation, and infertility are often presented. Endometriosis emerges as the most common cause of infertility diagnosed during laparoscopy, with pigmented and white fibrotic lesions being observed. Detecting endometriosis during laparoscopy can be challenging and may result in multiple procedures without definitive results. Proper identification and treatment of endometriosis during laparoscopy are crucial to prevent recurrence and infertility. Gynecologists need heightened awareness for its identification, treatment, and documentation during surgery, followed by aggressive post-operative fertility treatment within nine months, as endometriosis may recur afterward.
Laparoscopic surgery has shown promise, with pregnancy rates ranging from 50 to 70% in various series for mild, moderate, and severe endometriosis. Cystectomy is preferred over simple drainage to prevent recurrence. However, if cystotomy dissection proves challenging and may damage many normal ovarian follicles, drainage and bipolar fulguration of the internal surface of a chocolate cyst should be considered. Rectovaginal endometriosis is often unaddressed during laparoscopy, underscoring the importance of proper identification and dissection of recto-vaginal nodules for pain relief.
Enhanced awareness is expected to lead to the identification of more instances of endometriosis during a diagnostic laparoscopy.
During laparoscopy, a small needle is inserted just below the umbilicus, and CO2 gas is insufflated into the abdomen. This minimally invasive approach involves tiny incisions, typically three, less than half an inch in length. One incision is made below the navel, and another near the bikini line. Carbon dioxide gas aids in maintaining a clear surgical field, facilitating better visualization and maneuverability of laparoscopic instruments.
Patients usually undergo laparoscopy as a day-care procedure, returning home within 24-48 hours of surgery. The procedure itself takes about 25 to 75 minutes for a normal laparoscopy and may extend to 1-2 hours for advanced endometriosis. Most patients begin feeling much better within one day.
Routine charges for laparoscopy range from Rs. 20,000 to 25,000/- in usual cases without complicated interventions.

Ectopic Pregnancy

Performed for lower abdominal pain with a history of amenorrhea and vaginal bleeding, with TVUSG revealing a tender adnexal mass.
Over 90% of ectopic pregnancy cases are now treated by laparoscopy worldwide. A crucial prerequisite for laparoscopic management is that the patient should be hemodynamically stable. Ruptured ectopic pregnancies should be treated by salpingectomy, as the chances of a repeat ectopic pregnancy in subsequent pregnancies are higher. The goal should be to diagnose ectopic pregnancy in its asymptomatic or unruptured stage to offer medical treatment with methotrexate or procedures like salpingostomy or tubal milking to preserve the affected tube. Copious irrigation during surgery is necessary to prevent post-operative adhesions. Recording the surgery assists other consultants in deciding between salpingostomy and salpingectomy during subsequent procedures. The procedure typically lasts around 30 minutes, and the patient can be discharged on the same day, similar to laparoscopic tubal ligation.
During laparoscopy, a small needle is inserted just below the umbilicus, and CO2 gas is insufflated into the abdomen. This minimally invasive approach involves tiny incisions, typically three, less than half an inch in length. One incision is made below the navel, and another near the bikini line. Carbon dioxide gas helps maintain a clear surgical field, allowing better visualization and maneuverability of laparoscopic instruments.
Patients usually undergo laparoscopy as a day-care procedure, returning home within 24 hours of surgery. The procedure itself typically takes about 15 to 35 minutes for normal ectopic pregnancies and may extend to 1-2 hours for chronic ectopic pregnancies. Most patients begin feeling much better within one day.
Routine charges for laparoscopy range from Rs. 15,000 to 20,000/- in usual cases without complicated interventions.

Dremoid Cyst

Performed for lower abdominal pain during pelvic examination and TVUSG revealing an adnexal mass, or in infertility patients.

Young patients aged 14-20 years present with pain or torsion, with a suspected diagnosis based on USG findings. Dermoid cystectomy can be easily managed using various dissection techniques to preserve normal ovarian tissue after cystectomy. Dermoid cysts can be retrieved in an Endobag to minimize spillage, particularly through the posterior pouch. In cases of post-hysterectomy, bilateral salpingo-oophorectomy is performed.

During laparoscopy, a small needle is inserted just below the umbilicus, and CO2 gas is insufflated into the abdomen. This minimally invasive approach involves tiny incisions, typically three, less than half an inch in length. One incision is made below the navel, and another near the bikini line. Carbon dioxide gas helps maintain a clear surgical field, allowing better visualization and maneuverability of laparoscopic instruments.

Patients usually undergo laparoscopy as a day-care procedure, returning home within 24 hours of surgery. The procedure itself typically takes about 15 to 35 minutes for normal cases and may extend to 1-2 hours for more complicated cases. Most patients begin feeling much better within one day.

Routine charges for laparoscopy range from Rs. 20,000 to 25,000/- in usual cases without complicated interventions.

Lap. Myomectomy (Fibroid)

Performed for infertility, menorrhagia, and lower abdominal pain, observed during pelvic examination and TVUSG showing an adnexal mass.
Fibroids smaller than 5 cm may be asymptomatic and not require removal. However, fibroids causing menorrhagia, dysmenorrhea, pressure symptoms, or infertility typically warrant removal. Expert TVUSG with Color Doppler should be conducted to exclude adenomyosis, and patients should be counseled on the possibility of adenomyosis before fibroid surgery. Fibroid mapping should also be performed before surgery to facilitate accessibility during the procedure. Submucous fibroids are approached hysteroscopically. Video documentation assists in demonstrating the quality of myomectomy performed, particularly highlighting adequate laparoscopic suturing for scar integrity and safety in subsequent pregnancies after myomectomy. Adequate hemostasis and copious irrigation with Ringer lactate help prevent post-operative adhesions. This surgery demands significant experience and expertise, and patients can typically be discharged on the same day.
During laparoscopy, a small needle is inserted just below the umbilicus, and CO2 gas is insufflated into the abdomen. This minimally invasive approach involves tiny incisions, typically three, less than half an inch in length. One incision is made below the navel, and another near the bikini line. Carbon dioxide gas helps maintain a clear surgical field, allowing better visualization and maneuverability of laparoscopic instruments.
Patients usually undergo laparoscopy as a day-care procedure, returning home within 24 hours of surgery. The procedure itself typically takes about 35 to 55 minutes for normal cases and may extend to 1-2 hours for more complicated cases. Most patients begin feeling much better within one day.
Routine charges for laparoscopy range from Rs. 20,000 to 25,000/- in usual cases without complicated interventions.

Laparoscopic Tubal Reversal (Anastomosis)

In the event of a child's accidental death in the family, the family may seek this operation.
This surgery demands a significant amount of experience and expertise. A three-chip camera and a well-equipped setup with special needle holders and specially designed micro-instruments are essential to achieve optimal results. Reversal of laparoscopic tubal ligation typically yields better outcomes compared to abdominal tubal ligation procedures. Patients can typically be discharged within 24 hours with excellent results.
During laparoscopy, a small needle is inserted just below the umbilicus, and CO2 gas is insufflated into the abdomen. Instead of making a large incision and opening up the body, tiny incisions are made, and a laparoscope is inserted. This slim scope has a lighted end, capturing fiber optic images sent to a monitor for the surgeon's visualization.
The laparoscopic procedure typically involves 3-5 tiny incisions, each less than half an inch in length. One incision is made just below the navel, with another usually near the bikini line. The initial incision allows for the injection of carbon dioxide gas into the abdomen, creating space and providing a clear view for the surgeon to maneuver the laparoscope and surgical tools efficiently. The use of small incisions reduces recovery time, discomfort, and noticeable surgical scars.
Many patients undergo laparoscopy as a day-care procedure, returning home within 24 hours. The duration of the normal laparoscopy procedure typically ranges from 2-3 hours, while more complicated cases may extend to 3-4 hours. Most patients experience significant improvement within one day.
Routine charges for laparoscopy typically range from Rs. 25,000 to 35,000/- in usual cases without complicated interventions.

Laparoscopic Burch's For S.U.I.

Patients come to us with a troubling symptom – urinary leakage when coughing, straining, laughing, or lifting weights. Before the operation, we conduct a pre-operative assessment to evaluate the hypermobility of the mid-urethra and U-V junction, and to exclude detrusor instability.
Using minimally invasive laparoscopy, we make small incisions just below the umbilicus. CO2 gas is then gently introduced into the abdomen, creating a clear surgical field. This approach allows for better visualization with a laparoscope, which captures fiber optic images sent to a monitor for precise guidance during the procedure.
During the surgery, we dissect the Space of Retzius until both Cooper's ligaments are clearly visible. The mid-urethra and U-V junction are dissected with assistance from below. We use non-absorbable sutures to stitch the mid-urethra and U-V junction to Cooper’s ligament. Preoperative counseling is essential to discuss the entire procedure and potential post-operative outcomes.
One advantage of the laparoscopic approach is its ability to address posterior and mid-compartment defects simultaneously. Experience and expertise are crucial for this surgery, with the Burch procedure typically yielding better results than Kelly’s plication and needle suspension procedures. Cystoscopy is performed to rule out any bladder injury. Additionally, patients may be offered TVT or TOT as optional treatments due to their ease and effectiveness.
Using small incisions instead of a large abdominal opening reduces recovery time, discomfort, and visible surgical scars.
Many patients undergo laparoscopy as a day-care procedure, returning home within 24 hours. A normal laparoscopic procedure typically lasts between 55 to 75 minutes, while more complex cases may require 1-2 hours. Most patients report feeling much better within 2-3 days.

Laparoscopic T.O.Mass

Laparoscopy is performed for individuals experiencing lower abdominal pain, undergoing pelvic examinations, and showing an adnexal mass on TVUSG, and sometimes for infertility patients.
Through a minimally invasive approach, a small needle is inserted just below the umbilicus, and CO2 gas is introduced into the abdomen. This technique avoids the need for a large incision, with only three tiny incisions typically required, each less than half an inch in length. Carbon dioxide gas helps create a clear surgical field, allowing for better visualization with the laparoscope.
Following the procedure, which usually lasts between 15 to 35 minutes for a standard laparoscopy and may take up to an hour for more complicated cases, patients are often able to return home within 24 hours. Recovery time is minimized, and discomfort is reduced compared to traditional surgery, with most patients feeling significantly better within one day.

Laparoscopic Adhesiolysis

Laparoscopy is performed for individuals experiencing lower abdominal pain, which can be caused by conditions such as pelvic inflammatory disease (PID), tuberculosis, endometriosis, and past surgeries leading to adhesions around the pelvic genital organs.
In cases where tuberculosis is suspected, particularly with tubercles and intestinal adhesions, adequate anti-tubercular treatment (AKT) is administered before attempting adhesiolysis. The primary goal of adhesiolysis during diagnostic laparoscopy is to establish the tubo-ovarian relationship. Post-laparotomy adhesions are common following various gynecological surgeries, leading to subsequent abdominal wall adhesions and post-operative pain, often necessitating laparoscopic adhesiolysis.
The minimally invasive nature of laparoscopy involves introducing a small needle just below the umbilicus and insufflating CO2 gas into the abdomen. This approach avoids the need for large incisions, with only three tiny incisions typically required. Patients undergoing laparoscopy usually return home within 24 hours, experiencing less discomfort and shorter recovery times compared to traditional surgery.
Most laparoscopic procedures, including adhesiolysis, take about 15 to 35 minutes for a standard case, although more complicated cases may take up to 1-2 hours. Patients typically begin feeling much better within one day following the procedure.

Laparoscopic Vaginoplasty

Parents bring their daughter to us when she reaches 15-17 years of age without menstruation, concerned about her fertility before marriage. In cases where the uterus is absent, we also evaluate for associated renal malformations.
For vaginoplasty, we utilize the peritoneum instead of the usual method involving a skin graft from the thigh. The procedure begins with the placement of a Foley's catheter in the urethra and a rectal probe in the rectum. Laparoscopic guidance aids in dissecting the vaginal space, where the peritoneum is mobilized circumferentially until a tension-free stitch can be taken with the labia minora. The resulting vagina is approximately two centimeters wide and 8-10 centimeters long, ensuring good sexual function. Patients are discharged the next day with minimal postoperative care, highlighting the importance of experience and expertise in this surgery.
The laparoscopic approach involves introducing a small needle below the umbilicus and insufflating CO2 gas into the abdomen. This minimally invasive technique, with three tiny incisions, reduces recovery time and discomfort, allowing patients to return home within 24 hours.
Most laparoscopic procedures, including vaginoplasty, take about 15 to 35 minutes for a standard case, with more complicated cases potentially extending to one hour. Patients typically experience significant improvement within one day following the procedure.

Laparoscopic Vault (Prolapse) Repair

Patients come to us either for lower abdominal pain or for symptoms such as something protruding per vaginum after a previous hysterectomy, accompanied by urinary or bowel issues.
These pelvic defects are carefully identified, and repairs are performed systematically to address anterior, mid, or posterior compartment defects and prevent recurrence. Vaginal vault fixation can be achieved with mesh, followed by attachment of the mesh to the sacral promontory using a tacker. This procedure demands a high level of experience and expertise.
The laparoscopic approach begins with the introduction of a small needle below the umbilicus to insufflate CO2 gas into the abdomen. This minimally invasive technique involves making three tiny incisions, reducing recovery time and discomfort while ensuring less noticeable surgical scars.
Most patients undergoing laparoscopy, including those with complex cases, can return home within 24 hours. The procedure typically lasts about 15 to 35 minutes for routine cases, with more complicated cases potentially extending to 1-2 hours. Patients generally experience significant improvement within one day following the procedure.

Laparoscopic Vault (Prolapse) Repair

Patients undergo laparoscopy for indications such as menorrhagia, lower abdominal pain, or any other reason necessitating uterine removal, as confirmed by pelvic examination and positive findings on transvaginal ultrasound.
The laparoscopic approach proves particularly beneficial in cases with previous abdominal adhesions, multiple cesarean sections, adnexal masses, or large uteruses due to conditions like endometriosis or pelvic inflammatory disease (PID). Total laparoscopic hysterectomy (TLH) is gaining popularity, especially with advancements in understanding pelvic floor support. Proficiency in bipolar cautery is essential for successful TLH. Non-descent vaginal hysterectomy (NDVH) can be comfortably performed up to uterine sizes of 12-14 weeks along with laparoscopic McCall's culdoplasty, providing optimal vault support.
TLH offers improved sexual quality post-operation compared to other methods, and even bilateral oophorectomy can be safely performed laparoscopically. The decision regarding ovary removal should involve discussions with the patient regarding future menopausal protocols. The risk of postoperative vault prolapse is lower with laparoscopic hysterectomy compared to NDVH.
The laparoscopic procedure involves introducing a small needle below the umbilicus to insufflate CO2 gas into the abdomen, followed by making three tiny incisions. This minimally invasive technique minimizes recovery time, discomfort, and surgical scars.
Most patients can undergo laparoscopy as a day-care procedure, returning home within 24 hours. The duration of the procedure typically ranges from 35 to 55 minutes for routine cases and may extend to 1-2 hours for more complicated cases. Patients usually experience significant improvement within one day following the procedure.

Laparoscopic Tubal Ligation

Performed for permanent family planning purposes, laparoscopic tubal ligation (Lap TL) offers advantages in potential reversibility compared to traditional methods. In the unfortunate event of a child's death in the future, Lap TL presents better prospects for successful reversal operations due to minimal compromise to the length of the fallopian tubes.
Initially, Lap TL was considered a straightforward procedure, often performed under local anesthesia and sedation in government setups, while general anesthesia and intubation were preferred in private setups. However, with advancements in laparoscopic techniques and a deeper understanding of its benefits, severe obesity and previous abdominal scars, once considered relative contraindications, are now common indications for laparoscopic approaches. Lap TL offers the opportunity to address issues like omental and intestinal adhesions during the procedure, potentially alleviating postoperative discomfort caused by scar adhesions.
The choice of port placement, such as Palmer's point for cases with previous abdominal scars and the umbilicus for severe obesity, is crucial for optimal surgical access and outcomes. Laparoscopic visualization allows for precise recording and evaluation of the tubal ligation procedure, ensuring the quality of the fallopian tube loop created during surgery.
In younger patients with children aged around five years or less, Lap TL demonstrates a higher success rate for tubal reversal compared to abdominal TL in the event of future child loss.
Utilizing small incisions and minimally invasive techniques, laparoscopic procedures typically involve a swift recovery, with most patients discharged within 24 hours of surgery. The duration of the procedure ranges from 15 to 35 minutes for routine cases, with more complex cases potentially extending to one hour. Patients generally experience significant improvement within a day post-surgery.

Laparoscopic Sling Operation (Prolapse)

Performed for infertility or pain in the lower abdomen, or when a patient presents with symptoms such as something protruding per vaginum, along with urinary or bowel issues.
In cases where other causes of infertility have been ruled out, prolapse correction can be considered as a treatment option, particularly in selective infertility cases. For young patients presenting with vaginal protrusion and a desire to preserve their fertility while addressing prolapse, laparoscopic fixation of polypropylene mesh from the posterior side of the cervix to the sacral promontory through a medial tunnel created next to the right uterosacral ligament, under laparoscopic guidance, can yield excellent results. This procedure requires a high level of experience and expertise, with post-operative outcomes being particularly rewarding.
In cases where multiple pelvic defects are identified, systematic repair of anterior, mid, or posterior compartment defects is performed to prevent recurrence. Vaginal vault fixation with mesh, followed by attachment to the sacral promontory with tacker, can be part of the comprehensive treatment approach. Again, this surgery demands a significant level of experience and expertise to achieve optimal results.
Utilizing small incisions and laparoscopic techniques, this minimally invasive procedure typically involves quick recovery times, with many patients discharged within 24 hours of surgery. The duration of the procedure ranges from 15 to 35 minutes for routine cases, with more complex cases potentially requiring 1-2 hours. Most patients experience significant improvement within one day post-surgery.

Hysteroscopy

Hysteroscopy offers a means for your physician to examine the interior of your uterus. Using a hysteroscope, a slender instrument resembling a telescope, your doctor can access the uterus through the vagina and cervix. This procedure is instrumental in diagnosing or addressing uterine issues. Hysteroscopy, typically conducted either in a physician’s office or an operating theater, can involve local, regional, or general anesthesia, or sometimes no anesthesia at all.

Hysteroscopic surgery, performed within the uterine cavity, serves various purposes. Office Hysteroscopy involves visually inspecting the uterine cavity directly, termed Diagnostic Hysteroscopy, and removing surface lesions such as polyps, adhesions, or a septum, or passing a thin catheter through the fallopian tubes, known as Operative Hysteroscopy. Sedation and anesthesia are commonly administered intravenously by an in-house anesthesiologist during the procedure. Patients who have previously had a vaginal delivery or those with a readily traversable cervical canal may undergo hysteroscopy with only local anesthesia. Moreover, individuals who haven't delivered vaginally in the past but possess a high pain tolerance and low anxiety levels may opt for hysteroscopy under local anesthesia, often supplemented with Para cervical blockade.

What Happens During The Hysteroscopy Procedure?

Special instruments may be used to dilate or widen the opening of your cervix.
The hysteroscope is then inserted through your vagina and cervix, reaching into your uterus.
Following this, a liquid or gas is typically released through the hysteroscope to expand your uterus, providing your physician with a clearer view inside.
A light source attached to the hysteroscope enables your physician to visualize the interior of the uterus, including the openings of the fallopian tubes into the uterine cavity.
If surgical intervention is necessary, small instruments are introduced through the hysteroscope.

How Will I Feel After A Hysteroscopy?

Some patients may experience shoulder discomfort following laparoscopy or when gas is utilized to expand the uterus (Today, we use Normal saline for the distention medium during Hysteroscopy). Once the gas is absorbed, the discomfort should dissipate quickly. You may also feel faint or nauseous, or experience slight vaginal bleeding and cramps for 1-2 days after the procedure.

Contact your Doctor if you experience any of the following after your hysteroscopy:

Fever
Severe abdominal pain
Heavy vaginal bleeding or discharge
Injury to the cervix or uterus
Infection
Excessive bleeding
Side effects from the anesthesia

While general anesthesia is sometimes employed, it is not typically necessary. Hysteroscopy enables your physician to visually examine the inside of your uterus, aiding in the accurate diagnosis of certain medical conditions. The procedure and recovery period are typically brief. Patients can usually resume normal activities within 4 to 6 hours after Hysteroscopy in most cases.