Hysteroscopy & Laparoscopy
What is Hysteroscopy?
Hysteroscopy is a minimally invasive diagnostic or therapeutic procedure used to examine the inside of the uterus. A thin, lighted instrument called a hysteroscope is inserted through the vagina and cervix into the uterus, allowing your gynaecologist to view the uterine cavity and address concerns like abnormal bleeding, fibroids, polyps, or uterine septum without any abdominal cuts.
It is a comprehensive medical evaluation that focuses on the physical, emotional and reproductive health of teenagers, typically between the ages of 10 and 19. It covers key aspects such as growth monitoring, menstrual health, nutrition, mental well-being, skin concerns (like acne) and early detection of hormonal imbalances such as PCOS or thyroid disorders. It also provides a safe, non-judgmental space for teens to discuss topics like puberty, body image, sexuality and menstrual hygiene.
What is Laparoscopy?
Laparoscopy is a keyhole surgical technique that allows your doctor to view and treat conditions within the pelvis using a small camera called a laparoscope. It is commonly used to diagnose and manage causes of infertility, endometriosis, ovarian cysts, fibroids, or chronic pelvic pain. Small incisions are made in the abdomen, through which the instruments are inserted.
Difference between Hysteroscopy and Laparoscopy
While both are minimally invasive procedures, hysteroscopy evaluates the inside of the uterus via the vaginal route, whereas laparoscopy involves abdominal incisions to visualize the uterus, fallopian tubes, ovaries, and surrounding pelvic structures. Both may be done together when a more comprehensive evaluation is needed.
Procedure of Hysteroscopy
Hysteroscopy is usually performed under short general or local anaesthesia. After gently dilating the cervix, the hysteroscope is inserted into the uterus. A sterile fluid is used to expand the cavity for better visibility. Depending on the findings, corrective procedures like polyp or fibroid removal can be done in the same sitting.
Procedure of Laparoscopy
Under general anaesthesia, a small incision is made near the navel to insert the laparoscope. Additional tiny incisions may be made to allow surgical instruments if treatment is needed. After the procedure, the instruments are removed, and the incisions are closed with stitches or surgical glue.
Difference between Hysteroscopy and Laparoscopy
Benefits of Hysteroscopy and Laparoscopy
- Minimally invasive with faster recovery
- Less postoperative pain and fewer complications
- Precise diagnosis and targeted treatment
- Shorter hospital stay
- Lower risk of infections and scarring
These advanced procedures not only improve diagnostic accuracy but also offer effective treatment options with minimal disruption to your daily life.
Frequently Asked Questions (FAQ) - PCOS
1. Is hysteroscopy or laparoscopy painful?
Both procedures are usually done under anaesthesia, so you won’t feel pain during the procedure. Some women may experience mild cramping or soreness afterward, which typically subsides within a few days.
2. How long does it take to recover after hysteroscopy or laparoscopy?
Recovery after hysteroscopy is usually quick, most women resume normal activities within 1-2 days. Laparoscopy may take a few days to a week, depending on the extent of the procedure.
3. Can both procedures be done at the same time?
Yes, in many cases, hysteroscopy and laparoscopy can be performed together to allow a complete evaluation and treatment of gynaecological conditions in a single surgical session.
4. Are hysteroscopy and laparoscopy only for infertility?
No. While commonly used in infertility evaluation, both procedures are also used to diagnose and treat conditions like heavy bleeding, fibroids, endometriosis, ovarian cysts, and pelvic pain.
5. Will I need to be hospitalized?
These are usually day-care procedures. In most cases, you can go home the same day, unless advised otherwise based on your condition or if additional treatment is required.