Hysteroscopy · Marrakech
Abnormal bleeding, delayed pregnancy, an abnormality seen on ultrasound: hysteroscopy lets us see the inside of the uterus directly and, at the same time, treat certain lesions. In Marrakech, Dr Oussama Rachid, an obstetrician-gynaecologist, sets the indication at consultation, explains the procedure, its benefits and risks, and performs it in the operating theatre. This page is informational and does not replace a consultation.
Diagnostic hysteroscopyDiagnostic hysteroscopy lets the inside of the uterus be looked at directly with a fine camera passed through the natural route, without an incision. It investigates abnormal bleeding, difficulty conceiving or a suspicious image on ultrasound, and can be accompanied by a small sample. It is performed in the operating theatre.View the page Operative hysteroscopyOperative hysteroscopy treats certain lesions inside the uterus (polyp, fibroid in the cavity, septum, adhesions) with fine instruments passed through the natural route, without an incision. It is performed in the operating theatre, generally without a prolonged hospital stay.View the page A hysteroscope is a very thin tube with a camera and a light source. It is passed through the vagina and the cervix, without any incision, and gently distends the uterine cavity with a sterile fluid so it can be viewed on a screen. The procedure gives a direct view of the lining, the openings of the tubes and any abnormalities.
Hysteroscopy is offered to:
Diagnostic hysteroscopy only looks. Operative hysteroscopy treats the lesion found with fine instruments, at the same time, depending on its type and size.
Hysteroscopy is performed in the operating theatre. The type of anaesthesia depends on the indication and your situation: the doctor explains it before deciding.
A consultation lets the procedure be explained and your agreement obtained. An anaesthesia consultation is needed. The doctor goes through your treatments (especially blood thinners), allergies and history, and gives fasting instructions. The procedure is most often scheduled early in the cycle, just after the period, when the lining is thinnest.
Plan to be accompanied on the way home.
You are settled in the operating theatre, anaesthesia is given, then the hysteroscope is passed. It generally lasts from a few minutes to half an hour depending on whether it is a simple examination or an operative procedure. You are monitored until you wake up, then go home the same day or the next depending on your condition.
It is common to have some cramps for a day or two and light bleeding for a few days. A simple painkiller is most often enough. Avoid baths, intercourse and tampons according to the instructions given.
Consult without delay for fever, increasing pain, heavy bleeding or foul-smelling discharge.
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 or the fluid used. The doctor details these risks before the procedure so you decide knowingly.
Correcting a septum, adhesions or a polyp can improve the chances of pregnancy when these lesions are responsible. The doctor tells you the advised delay before resuming plans for pregnancy.
The procedures and examinations linked to this care. Each is offered after a consultation, according to your situation.
Hysteroscopy
Examining the inside of the uterus through the natural route.
It is done with suitable anaesthesia. Some cramps are possible afterwards and are relieved by simple painkillers.
A few minutes to half an hour depending on whether it is a simple examination or an operative procedure.
Often the next day or in the days that follow depending on the procedure. The doctor gives precise instructions.
Yes, in the great majority of cases. The doctor tells you the advised delay according to the procedure.
It depends on the indication and your situation. The type of anaesthesia is decided with the doctor and the anaesthetist.
Informational content: it does not replace a consultation. No outcome can be guaranteed.
