Is hysteroscopy painful?

With the increasing life and work pressure of women nowadays, the probability of women suffering from some gynecological diseases has also increased. Some gynecological diseases can be detected intuitively, but it is a bit difficult for some more hidden parts. If we want to detect the condition better and more accurately, we need to use some scientific equipment, such as hysteroscope, which is an optical instrument used to examine the inside of the uterus. People who don’t understand this kind of equipment will worry. Are they worried that hysteroscopy will be painful? Let’s learn about it together below.

A hysteroscope is an optical instrument used for observation, diagnosis and treatment of the uterine cavity. Hysteroscopes can be divided into diagnostic and surgical types, and soft and hard types. The flexible diagnostic hysteroscope is made of advanced optical fiber. It has a small diameter and can be bent at will, making it easy to observe and diagnose the entire uterine cavity. The examination process is fast (about 2 to 5 minutes), painless, and does not hurt the uterus.

Hysteroscopy is a method of gynecological examination and is effective in detecting uterine diseases. Hysteroscopy is a minimally invasive examination method and will not cause any pain, so patients can rest assured.

Hysteroscopy is suitable for the examination of vaginal diseases in young girls or unmarried women. It is used for the examination of unexplained vaginal bleeding, irregular menstruation, vaginal discharge, abdominal pain, family planning, infertility, etc. to exclude the presence of inflammatory tumors, foreign bodies, deformities, adhesions, hemangiomas or abnormal pregnancy.

Local biopsy, cervical polypectomy, endometrial polypectomy, decomposition of cervical adhesions, removal of uterine septum, endometrial resection, removal and extraction of intrauterine contraceptive devices or other foreign bodies can also be performed under direct vision. Fallopian tube occlusion or fluid insufflation and artificial insemination can also be performed.

Abnormal uterine bleeding, menorrhagia, oligomenorrhea, irregular menstrual cycle, uterine fibroids, uterine polyps, displacement of IUD, infertility, habitual miscarriage, follow-up examinations after spontaneous or induced abortion, abnormal ultrasound images, long-term lower abdominal pain, artificial conception and preoperative evaluation of in vitro fertilization, etc. are all indications for hysteroscopy.

If you want to know the process of hysteroscopic surgery, you must have an understanding of hysteroscopy. A hysteroscope is an optical instrument used for observation, diagnosis and treatment of the uterine cavity. Hysteroscopes can be divided into diagnostic and surgical types, and soft and hard types. The flexible diagnostic hysteroscope is made of advanced optical fiber. It has a small diameter and can be bent at will, making it easy to observe and diagnose the entire uterine cavity. The examination process is fast (about 2 to 5 minutes), painless, and does not hurt the uterus.

How does hysteroscopic surgery work?

1. Pain relief and analgesia.

2. Inspection method: Take lithotomy position, routinely disinfect the vulva and vagina, clamp the anterior lip of the cervix with a cervical forceps, use a probe to find out the depth and direction of the uterine cavity, and expand it to 6.5-7 according to the outer diameter of the sheath. First, empty the air between the sheath and the optical tube, slowly insert the hysteroscope, turn on the light source, and inject uterine distension fluid with a distension pressure of 13-15kPa (1kPa=7.5mmHg). After the uterine cavity is filled and the field of vision is bright, the scope can be rotated and a comprehensive observation can be made in sequence.

3. Inspection order: First check the uterine fundus and the front, back, left and right walls of the uterine cavity, then check the uterine horns and fallopian tube openings. Pay attention to the morphology of the uterine cavity, the presence of endometrial abnormalities or space-occupying lesions, and perform targeted biopsy when necessary. Finally, while slowly pushing out the endoscope, carefully examine the internal cervical os and cervical canal.