Diagnostic hysteroscopy · Marrakech
When ultrasound is not enough to explain bleeding or difficulty conceiving, diagnostic hysteroscopy lets the inside of the uterus be seen. In Marrakech, Dr Oussama Rachid, an obstetrician-gynaecologist, explains the procedure at consultation and carries it out in the operating theatre. This page is informational and does not replace a consultation.
It is used to observe the uterine cavity, the lining (the endometrium) and the openings of the tubes, to confirm or rule out an abnormality: polyp, fibroid in the cavity, septum, adhesions, thickened or suspicious lining, misplaced IUD. It clarifies what ultrasound only suggests.
Diagnostic hysteroscopy is offered for:
The procedure is done in the operating theatre. After settling in and suitable anaesthesia, a very fine hysteroscope is passed through the vagina and cervix, without an incision, and the cavity is gently distended with a sterile fluid so it can be viewed on a screen. It generally lasts a few minutes. It is most often scheduled early in the cycle, just after the period.
When the lining looks suspicious or a cause of bleeding needs confirming, the doctor can take a small fragment, analysed afterwards in the laboratory. This sample is guided by direct vision, which makes it more precise. The result is explained to you at consultation.
A consultation lets the procedure be explained and your agreement obtained. An anaesthesia consultation is needed. The doctor goes through your treatments, allergies and history, and gives fasting instructions. Plan to be accompanied on the way home.
Some cramps and light bleeding are common for a day or two. A simple painkiller is most often enough. Consult without delay for fever, increasing pain, heavy bleeding or foul-smelling discharge.
The doctor explains what he saw, gives you a report and tells you what comes next: simple monitoring, treatment, or operative hysteroscopy if a procedure is needed.
Diagnostic hysteroscopy is a common procedure and generally well tolerated. Rare complications exist: infection, bleeding, a small perforation of the uterine wall, a complication linked to anaesthesia. The doctor details them before the procedure.
The procedures and examinations linked to this care. Each is offered after a consultation, according to your situation.
Diagnostic hysteroscopy
Seeing inside the uterus, with a sample if needed.
It is done with suitable anaesthesia. Some cramps are possible afterwards and are relieved by simple painkillers.
Diagnostic hysteroscopy looks; operative hysteroscopy treats the lesion found at the same time.
What the doctor sees is explained quickly. The result of any sample takes a few days.
It is scheduled rather just after a period. Tell the clinic if your dates change.
Informational content: it does not replace a consultation. No outcome can be guaranteed.
