Hysteroscopy and curettage

What procedure is it?

This is a diagnostic procedure to evaluate the uterine cavity. It is usually performed under general anaesthetic in an operating theatre.

What happens?

After the widening of the cervix, a small telescope is placed through the vagina and cervix into the uterine cavity. Resection of polyps, submucosal fibroids or removal of foreign bodies can be performed at the same time. The procedure is usually completed with the scraping of the inner lining of the uterus. All tissue obtained is then checked with a microscope in a pathology department.
This is a very short procedure and it is expected that you would go home the same day.

After the procedure

After the procedure you may experience cramping abdominal pain and bleeding which should taper off over the next few days. You will have a review appointment in 6 weeks to discuss the findings and plan any further treatment.

What are the risks?

There are risks and complications with this procedure however they are very rare. These may include:

  • Bleeding, requiring a blood transfusion
  • Infection to the uterus or fallopian tubes, requiring antibiotics
  • Damage to the cervix with implications on future childbearing
  • Injury to the uterine wall, perforation and damage to the bladder or bowel; you may need additional surgery to correct the problem
  • General risks such as lung collapse, chest infection, heart attack, stroke, blood clots in legs and lungs

Do you need an appointment?

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