Hysteroscopy in Gurugram

A camera examination of the inside of the uterus. A telescope roughly the width of a drinking straw is passed through the vagina and cervix, so the cavity can be seen directly on a screen. Nothing is cut on the outside, there are no stitches and there is no scar.

No, and the difference matters. A D&C or a pipelle biopsy scrapes or suctions the lining without seeing it. A hysteroscopy looks first, then takes tissue from exactly the place that looks abnormal. In one study of women with a lesion inside the cavity, D&C left the whole lesion or part of it behind in 87% of cases and missed 58% of polyps. NICE guidance now advises against blind endometrial biopsy for this reason.

The commonest reasons are bleeding between periods, heavy periods that have not responded to medication, any bleeding after menopause, a polyp or thickened lining seen on ultrasound, a fibroid growing inside the cavity, difficulty conceiving, recurrent miscarriage, a lost Copper-T, or a biopsy that came back inadequate.

None. The telescope goes in the natural way, through the cervix. There is no incision on the abdomen, nothing to stitch and nothing to leave a scar. This is what makes it the smallest of all the uterine operations.

Most women describe it as period-like cramping rather than sharp pain, and it is short-lived. It is more uncomfortable for women who have not had a vaginal delivery, and for women past menopause. Taking a standard dose of ibuprofen or paracetamol about an hour beforehand genuinely helps and is recommended by guidelines.

That is your choice, and it is worth thinking about in advance rather than on the day. Hysteroscopy can be done awake, and diagnostic procedures with a thin telescope are well tolerated that way. Because Dr. Anam performs hysteroscopy at hospital as day care, general anaesthesia is available and many women prefer it, particularly for operative work where being still matters. Neither choice is wrong.

The procedure itself usually takes 10 to 20 minutes, longer if a fibroid or extensive scarring is being dealt with. It is a day-care procedure and most women go home the same day. If you have had a general anaesthetic you will be observed for a few hours first and should not drive for 48 hours.

Conventionally in the first half of the cycle, once your period has finished, when the lining is thin and anything growing inside the cavity stands out clearly. A procedure done just before a period, when the lining is thick, can hide the very thing it is looking for.

Usually yes, and that is the point of it. A polyp can be removed, a submucous fibroid shaved away, adhesions divided, or a lost Copper-T retrieved during the same procedure that diagnosed it. It is often called \u201csee and treat\u201d, and it saves you a second appointment and a second anaesthetic.

It is one of the safest procedures in gynaecology. Across two large series of more than 13,000 and 21,000 procedures, the overall complication rate was around 0.2 to 0.3% - about 0.13% for diagnostic hysteroscopy and 0.95% for operative. The commonest problem is a small perforation of the uterine wall, which occurs in fewer than 1 in 1,000 diagnostic procedures. Infection is around 1 in 400.

Spotting or light bleeding for up to a week, and period-like cramping for a day or two. Use sanitary pads rather than tampons. You should get in touch if you have pain that simple painkillers are not controlling, bleeding heavier than a period, a fever or an offensive discharge.

Most women are back to their usual routine within a day after a diagnostic procedure. Sex and normal exercise can resume once the bleeding and discomfort have settled. After an operative procedure under anaesthesia, waiting about a week before sex reduces the risk of infection.

It depends on what is found. If there is a polyp, a submucous fibroid or scar tissue, removing it is worthwhile - in a randomised trial of women with infertility and a polyp, 63% conceived after removal against 28% without. But two large randomised trials found that routine hysteroscopy in women whose ultrasound is normal does not improve IVF success. Hysteroscopy treats a problem that is there; it is not a fertility treatment in itself.

That pattern suggests intrauterine adhesions, sometimes called Asherman's syndrome, where the walls of the cavity have scarred together. Hysteroscopic adhesiolysis is the treatment, and it works - but it is honest to say that it often needs more than one sitting, and that adhesions come back in roughly a third of mild to moderate cases and about two thirds of severe ones. A follow-up hysteroscopy two to three cycles later is part of the plan, not a sign something went wrong.

This is a genuinely unsettled question and you deserve to hear it that way. The only randomised trial found no difference in live birth after septum resection, but it was too small to rule out a real benefit. Observational studies suggest miscarriage rates fall after resection. American guidance recommends offering it for recurrent miscarriage as a shared decision; European guidance declines to recommend either way. It is a conversation, not a foregone conclusion.

Not necessarily. First a pregnancy test and a scan to confirm where the device actually is. If it is sitting correctly inside the uterus and you are happy with it, it can often simply be left. If it needs to come out, most are retrieved in the clinic without a hysteroscopy. Hysteroscopy is the fallback when blind retrieval fails or the device is embedded in the wall - and then it is far better than repeated blind attempts.

Usually neither. Guidelines advise against giving antibiotics routinely, and against routine cervical preparation with misoprostol, because the evidence does not support them for most women. Cervical preparation is reserved for cases where a tight cervix is expected, such as after menopause or in women who have not had a vaginal delivery.

Polyps recur in around 3% of women even over nine years, when removal has been done properly under vision - and much more often after blind curettage, where the real problem is usually tissue left behind rather than true recurrence. Submucous fibroids are more likely to need further treatment over time. You will be told at your follow-up what to watch for and when.

Consultation, examination and all the decision-making happen at the clinic, at Sector 51 or Sector 56. Scans are arranged by referral to a trusted imaging centre, and the report is reviewed with you at the clinic. The hysteroscopy itself is carried out as a day-care procedure at an NABH-accredited hospital in Gurugram, where the full range of anaesthesia and equipment is available.