Contents of
Summary of the purpose of the
2 procedure Reasons for copious 3 discharge When to call a physician 4 How to avoid problems after procedure Briefly about the purpose of the procedure Hysteroscopy is an endoscopic method of investigation. During the procedure, a special probe is inserted into the uterine cavity, which contains a light guide and a conductor for the chamber. Thus, the resulting picture can arrive on the screen of the monitor, and it is easier to follow it, and also it can be recorded on a carrier and then compared during the treatment. Hysteroscope suggests the possibility of removing pathological formations( polyps, submucosal nodes, septum in the uterine cavity, etc.), biopsy and other manipulations.
The procedure can be performed with a diagnostic purpose to clarify the prevalence of the pathological process, identify the cause of the disease. It is also performed as a therapeutic technique.
Often hysteroscopy is combined with curettage of the uterine cavity and cervical canal followed by histological examination of the material.
Indications for hysteroscopy:
Acyclic uterine bleeding. Conventional curettage only gives a complete removal of the endometrium in 40 to 45% of cases and often does not capture pathological sites. Bloody discharge during menopause. The fact is that the pathological process, including endometrial cancer, can have very small dimensions. With conventional curettage, you can not touch it, which leads to a false result. Disturbance of the menstrual cycle, unspecified cause. For removal of the intrauterine device when it grows due to prolonged exposure or when the antennae breaks. If suspicion of the remains of the fetal egg, the placenta is also an advantage over hysteroscopy. For the control of treatment, including hormonal. With the help of hysteroscopy it is effective to remove polyps, submucous myoma nodes of small size, septum or adhesions in the uterine cavity. With some pathology of the fallopian tubes( constriction of the mouths) the procedure is shown. As a therapeutic tactic for endometrial hyperplasia, especially with relapsing forms. Look at the video about the procedure:
Causes of copious discharge The nature of menstruation after hysteroscopy depends also on the purpose for which the manipulation was performed and what was done during it.
If the hysteroscopy is performed for a diagnostic purpose, then the nature of the discharge should not be very different from the usual menstruation. After all, the doctor simply turns the guide into the uterus and examines it. Strong monthly after hysteroscopy in this case are permissible, if they were abundant at all times. This option is quite rare. As a rule, there are some additional interventions.
When hysteroscopy is performed with a diagnostic and at the same time therapeutic purpose, the excretions can change, no matter what day of the cycle it passed. In most cases, after all the manipulation, the woman marks a few more days of minor spotting. It is assumed that periodically they can appear throughout the whole month until the next critical days.
After a therapeutic hysteroscopy, menstruation should go after 28 to 30 days. In the overwhelming majority, they are uninvolved, sometimes even smearing. Such they can be several more cycles.
But sometimes they happen after hysteroscopy monthly with clots and quite a long time. Most often, this is observed in the following cases:
If scraping of the uterine cavity was performed, but the pathological endometrium is not completely removed. Most often, profuse menstruation worries a woman and before the procedure. In case of removal of the submucosal node. In this case, the inner surface of the uterus increases due to the site where the tumor was removed. The uterine contractility may also be impaired, which will cause similar cycle disturbances within one to two months. If removal of the septum in the cavity was carried out, it often happens painful months after hysteroscopy for the first time. Also, clots may appear, and the discharge will be more than usual.
In the case when the hysteroscopy was carried out about the remains of the fetal egg or placenta in the uterus cavity, profuse monthly can testify to the preservation of pathological sites still somewhere. In this case, bleeding is very strong, threatening the life of a woman. Sometimes an intrauterine device is removed by hysteroscopy. Usually this happens when the service life is exceeded, if the "antennae" is lost, when it is impossible to get it by the standard way. The intrauterine device itself can even slightly grow into the endometrium, so it is necessary to remove it, grossly damaging the upper layer of the uterine cavity. In this case, the first after the manipulation of the monthly, after 28-30 days, often are abundant and painful. As the site healed, where there was a spiral, the cycle is being adjusted. If a woman suffers from adenomyosis, the menstrual period can also be copious, with clots, often painful. Usually, if the diagnosis is confirmed during the hysteroscopy, hormonal therapy is prescribed. Then menstruation is usually meager or even absent a few months. In case of infection, a breakthrough bleeding may occur, in time this may coincide with menstruation. To avoid this, you should follow all the doctor's recommendations in the postoperative period.
When to call a doctor In most situations, the doctor warns the woman about the possible consequences, prescribing preventive treatment in the first 3 to 5 days after the manipulation. Also the gynecologist explains, whether after a hysteroscopy can begin monthly at once in the given situation, or to wait them only in a month.
As a rule, antibacterial drugs, antispasmodics and other painkillers, hemostatic agents, phytotherapy, if necessary, hormones are prescribed.
But not always everything can be envisaged. In the following situations, you should seek medical attention unplanned:
with uncharacteristic painful menstruation for a woman; when an unpleasant odor occurs along with secretions from the genital tract, possibly purulent or putrefactive; if spotting continues for more than 7 to 10 days immediately after hysteroscopy; in the case when the started monthly excessively abundant, with clots, more than 50 ml / day; long monthly after hysteroscopy in the first cycle - more than 7 days; with the appearance of severe pain in the abdomen; in case of a temperature increase of more than 38 degrees, not associated with a cold, and the like. Self-medication in such situations is life-threatening, with untimely care being provided, the risk of even more serious complications is high.
How to avoid problems after the procedure
In order to avoid possible consequences after hysteroscopy, it is necessary to follow all the prescriptions and recommendations of the doctor. Antibiotics help cope with infectious complications, and hemostatic and hormonal prevent bleeding in most cases.
It is not recommended to use tampons immediately after hysteroscopy. It is necessary to refrain from intimacy for a period of 3 to 5 days to 3 to 4 weeks( depending on the amount of intervention). It is also necessary to limit physical activity( especially lifting of weights), supercooling.
A thrifty attitude towards one's health in most cases can prevent a plentiful monthly after hysteroscopy with scraping or with other manipulation.
Hysteroscopy is a modern medical and diagnostic procedure widely used in gynecological practice. It allows minimally invasive way to effectively cope with many female ailments. With all the recommendations of the doctor and a considerate attitude to yourself in most cases, you can avoid complications after the procedure. But if you have excessively abundant bloody discharge, severe pain or other pathological symptoms, you should immediately seek medical help.
