A
Hysterocopy is a diagnostic procedure performed in our office to evaluate the uterine cavity. The procedure entails
placing a speculum in the vagina; the MD will then cleanse the vagina with an antibacterial solution (betadine). Local anesthesia
(1% lidocaine) is placed around the cervix. Following this, the cervix is grasped with a tenaculum and the cervix and uterus
are examined with the fiber optic hysteroscope. A small amount of carbon dioxide is used to distend the uterus to allow for
adequate visualization, some cramping and spotting may be encountered. During the procedure the doctor will also perform a
uterine measurement, Pap smear and cervical cultures if needed.
An antibiotic, usually doxycycline lOOmg, should have been prescribed
for you. Fill this prescription and start taking it the day before the hysteroscopy is scheduled. You will take the doxycycline
twice a day and continue the day of the procedure and two days after the procedure. Make sure you take the doxycycline with
food, as this medication may cause stomach upset on an empty stomach. Also avoid the sun while taking this medication; doxycycline
may make you more sensitive to sunlight.
On the day of the procedure, make sure you have arranged for transportation home.
After you have a consult with the MD, you will be pre-medicated A hour before the procedure with an oral Valium tablet to
relax you and an intramuscular injection to reduce cramping. You will not be able to drive after taking this medication. You
will need a family member or friend to drive you home.
AFTER YOUR HYSTEROSCOPY
1. You will have some vaginal bleeding. It may last 3-7 days. For
most women it is not heavier than a regular menstrual period.
2. You may have some cramping. We recommend you take ibuprofen (Advil
or Motrin) up to SOOmg every 8 hours, or naproxen (Nuprin, Naprosyn) up to SOOmg every 12 hours
3. You should maintain pelvic rest until your bleeding stops. This
means no tampons, no douching, and no vaginal intercourse. Use a pad for the bleeding.
4. Do not drive on the day of the hysteroscopy. The medications you
were given before the procedure will affect your driving skills.
5. Complications after the procedure are uncommon, but you should
call the clinic immediately for any of the following problems:
a.
Temperature above 100.5 degrees F.
b.
Pelvic pain that does not go away with ibuprofen or naproxen
c.
Foul-smelling vaginal discharge
6. There
are no restrictions on lifting or exercise after the hysteroscopy. Most women are able to return to work and normal activities
the following day.