How to perform hysteroscopy and is it painful?

Hysteroscopy is a common medical examination method. It can effectively check whether a woman is suitable for childbearing. Generally speaking, the examination process takes about two to five minutes and there will be slight pain, but this pain is bearable.

Hysteroscope is a high-tech fiber-optic light endoscope, which includes a light source system, a perfusion system and an imaging system. Hysteroscopy can directly see the situation inside the uterine cavity and can quickly make an accurate diagnosis of most diseases inside the uterine cavity. Hysteroscopy is a minimally invasive diagnostic method currently commonly used in gynecological clinics and is the "gold standard" for diagnosing diseases within the uterine cavity.

Commonly used hysteroscopes are very thin and have a diameter of about 4.5-5.5 mm. For married women, the examination enters the uterine cavity through the vagina and cervix, and the examination process takes about 2-5 minutes. The pain caused by hysteroscopy is generally tolerable and no anesthesia is required. If the patient is afraid of pain, local anesthesia can be used. The hysteroscopy is done as an outpatient and the patient can go home after a short rest in the hospital. In addition, hysteroscopy can also be used to examine the vagina and uterine cavity of young girls and unmarried women, to detect abnormalities in a timely and accurate manner and provide appropriate treatment.

On the day of hysteroscopy, you can eat an appropriate amount of food. If the examination is combined with B-ultrasound, the patient needs to hold his urine before the examination. Specific operation process: 1. The patient's position is the same as that for gynecological examination, and the bladder lithotomy position is adopted; 2. After disinfection, the hysteroscope is slowly inserted, and the uterus is distended with normal saline or 5% glucose injection solution. The fundus of the uterus, bilateral uterine horns and fallopian tube openings, and the front, back and side walls of the uterine cavity are examined in this order. Pay attention to the morphology of the uterine cavity and whether there are endometrial abnormalities or space-occupying lesions. When withdrawing the endoscope, check the morphology of the cervical canal and endometrium, and perform a positioning biopsy if necessary. During the entire examination process, the patient is awake and can see the conditions inside her uterine cavity with the doctor, so there is no need to be nervous.