Abnormal bleeding of the uterus that is also known as AUB, is one of the most common reasons for wanting a gynecologic evaluation.
Hysteroscopy refers to the procedure where a thin camera known as hysteroscope is inserted into the uterus via the vagina and camera attached to it helps in a thorough examination of the uterus. In the cases of cysts or fibroids or even cancerous growth where this procedure helps in getting more details on the lesions.
However, hysteroscopy is also a therapeutic intervention that is used for treating a condition like abnormal uterine bleeding.
Vaginal bleeding that happens more frequently than 21 days and very distant than 35 days is called abnormal uterine bleeding. The bleeding that lasts longer than 7 days and produces more than 80 mL of blood is lost during the periods is also called abnormal bleeding.
When a woman suffers from abnormal bleeding, additional diagnosis is needed to confirm the specific cause of the bleeding. This cause can be found out with the help of hysteroscopy Hysteroscopy helps in viewing the uterus from inside with the help of a camera.
Hysteroscopy is an outpatient procedure that generally takes about 3 to 4 hours. General or spinal anaesthesia is used as per the complexity and overall health of the patient. a fluid such as saline or glycine is filled in the uterus with the help of a thin lighted instrument known as hysteroscope is inserted through the vagina, through the cervix, into the uterus. This tube is quite flexible and can easily be moved across the uterus for identifying any abnormal areas. It comprises a camera that can easily take pictures of any unusual areas.
Infertility causes can also be detected with the help of hysteroscopy. Small incisions can also help in removing the lesion such as fibroid or polyp. These can result in abnormal bleeding. Biopsy samples can also be taken for confirming any cancerous growth if detected.
Hysteroscopy is an efficient way to measure the cervical canal and uterine cavity. It is better in accompanying D&C with hysteroscopy rather than going for dilation and curettage, particularly in women who are peri or premenopausal.
Hysteroscopy is an extremely safe procedure when done by a specialised doctor having relevant experience in gynaecological endoscopy which is useful in both diagnosis and treatment of abnormal uterine bleeding.