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Operative Hysteroscopy: Before Your Procedure

Female pelvic organs

What is an operative hysteroscopy?

An operative hysteroscopy is a procedure to find and treat problems with your uterus. It may be done to remove growths from the uterus. It may also be used to treat fertility problems or abnormal bleeding.

Before the procedure, you will get medicine to make you sleep or feel relaxed. You will not feel pain. The doctor will guide a lighted tube (called a hysteroscope) through the cervix into the uterus. The doctor will fill your uterus with liquid. The liquid will make it easier to see the inside of your uterus with the scope. The doctor will guide surgical tools through the scope to do the procedure.

When the procedure is done, the doctor will take the scope out. Most of the liquid that the doctor put in your uterus will flow out when the scope is removed.

You will probably go home the same day as the procedure. Many people are able to return to work the day after the procedure. But it depends on what was done during the procedure and the type of work you do.

How do you prepare for the procedure?

Preparing for the procedure

  • Understand exactly what procedure is planned, along with the risks, benefits, and other options.
  • If you take aspirin or some other blood thinner, ask your doctor if you should stop taking it before your procedure. Make sure that you understand exactly what your doctor wants you to do. These medicines increase the risk of bleeding.
  • Tell your doctor ALL the medicines and natural health products you take. Some may increase the risk of problems during your procedure. Your doctor will tell you if you should stop taking any of them before the procedure and how soon to do it.
  • Make sure your doctor and the hospital have a copy of your advance care plan. If you don't have one, you may want to prepare one. It lets others know your health care wishes. It's a good thing to have before any type of surgery or procedure.

What happens on the day of the procedure?

  • Follow the instructions exactly about when to stop eating and drinking. If you don't, your procedure may be cancelled. If your doctor has instructed you to take your medicines on the day of the procedure, take them with only a sip of water.
  • Take a bath or shower before you come in for your procedure. Do not apply lotions, perfumes, deodorants, or nail polish.
  • Take off all jewellery and piercings. And take out contact lenses, if you wear them.

At the hospital or surgery centre

  • Bring a picture ID.
  • You will be kept comfortable and safe by your anesthesia provider. The anesthesia may make you sleep. Or it may just numb the area being worked on.
  • The procedure will probably take less than an hour.

When should you call your doctor?

  • You have questions or concerns.
  • You don't understand how to prepare for your procedure.
  • You become ill before the procedure (such as fever, flu, or a cold).
  • You need to reschedule or have changed your mind about having the procedure.

Where can you learn more?

Go to https://www.healthwise.net/patientEd

Enter Q514 in the search box to learn more about "Operative Hysteroscopy: Before Your Procedure".

Adapted with permission from copyrighted materials from Healthwise, Incorporated (Healthwise). This information does not replace the advice of a doctor. Healthwise disclaims any warranty and is not responsible or liable for your use of this information. Your use of this information means that you agree to the Terms of Use. How this information was developed to help you make better health decisions.