Dr Hugo Fernandes
Diagnosing and treating various problems in the uterus through minimally invasive operation options.
A Comprehensive Uterine Examination
Receiving a thorough diagnosis and treatment for your health problems related to the uterus can help mitigate issues early, preventing further complications in the future. A hysteroscopy is a straightforward procedure that gives a surgeon a comprehensive look inside of your uterus, helping to find the causes of any abnormal bleeding or pain and uncover the perfect treatment option.
A hysteroscopy is performed using a hysteroscope, which is a thin and lighted tube. This tube is inserted into your vagina, allowing a surgeon to examine your cervix and the inside of your uterus. It can also be used to remove adhesions, uterine fibroids, and polyps. In certain cases, where a more invasive procedure is required, a hysterectomy might be recommended as a subsequent treatment option.
Diagnostic hysteroscopy works to identify any structural abnormalities within your uterus that could be causing irregular bleeding. Other tests such as an ultrasound may have already taken place, but a hysteroscopy could be referred to confirm the previous results. You may also undergo hysterosalpingography (HSG), which is an X-ray dye test that can check whether your fallopian tubes are blocked. Going through this process can be crucial in certain circumstances, as blocked fallopian tubes could lead to fertility issues.
Once your condition has been diagnosed, an operative hysteroscopy may be able to treat the detected abnormality. Your surgeon may perform both a diagnostic and operative hysteroscopy at the same time, though occasionally a second surgery may be required. An operative hysteroscopy works in a very similar way to a diagnostic procedure, though your surgeon will use a thin device to remove any abnormalities that may be causing abnormal bleeding.
Fibroids are noncancerous growths within the uterus that can cause various side effects, including abnormal bleeding and problems getting pregnant. A hysteroscopic resection, also known as Transcervical Resection of Fibroids (TCRF), is a procedure that can safely remove these growths during the hysteroscopy process. No surgical incisions will be required, as the hysteroscope will be inserted through the natural opening of the cervix. Fibroids will be removed in small segments using a thin cutting device.
Reasons for a Hysteroscopy
The primary use of hysteroscopy is to identify, diagnose, and treat conditions within the uterus. Patients who are recommended a hysteroscopy procedure are commonly experiencing abnormal uterine bleeding such as heavy menstrual bleeding, bleeding post-menopause, or irregular bleeding and spotting between periods. If you are referred to a gynaecologist for a hysteroscopy, there are several uterine conditions you may be experiencing. Some of these will be able to be treated through an operative hysteroscopy, while others will simply be diagnosed and a treatment plan can be created for the identified condition.
Here are some of the uterine conditions that may be identified and/or treated through hysteroscopy:
Polyps or Fibroids
These noncancerous growths are structural abnormalities within the uterus. These can be both identified and removed through hysteroscopy operations. A hysteroscopy polypectomy can provide the surgical removal of a polyp, while a hysteroscopy myomectomy can surgically remove a fibroid.
A uterine septum is a malformation and defect of the uterus that will have been present from birth, even if you’ve never noticed it before. A hysteroscopy can determine for certain whether you have a uterine septum that may be interfering with your health.
Also known as ‘Asherman’s Syndrome’, uterine adhesions are essentially bands of scar tissue that can form within the uterus. These can lead to significant changes in the menstrual cycle and flow, and can even lead to infertility. Your surgeon can use hysteroscopy to locate adhesions and safely remove them.
Risks Associated With Hysteroscopy Surgery
Unlike major surgeries, a hysteroscopy is an especially straightforward and simple procedure. Experienced gynaecologists such as Dr Hugo Fernandes will have performed countless of these procedures, so there is no need to stress about the need for a hysteroscopy. That said, any procedure is going to come with associated risks. The best way to guarantee your ongoing health is to educate yourself about the possible complications, and have an open dialogue with your doctor about your medical history, health, and increased risks. Dr Hugo will be able to guide you through all the potential outcomes, ensuring that you are in the safest position possible to undergo a hysteroscopy.
Here are some of the risks and side effects associated with having a hysteroscopy performed:
- Blood clots
- Blood loss
- Sickness and nausea
- Abdominal pain and discomfort
- Possible damage to surrounding organs and structures inside the body
Why choose Dr Hugo?
20 Years Experience
Experience is everything. When you work with Dr Hugo Fernandes, you have the assurance of over twenty years of experience in this industry. Put your health into the hands of someone you can trust by prioritising expertise, experience, and industry authority.
You deserve patient, compassionate, and dedicated care. When you step into Dr Hugo’s clinic, you will be embraced by a warm and friendly environment. Your appointments don’t need to be intimidating – choose a fertility clinic made up of highly skilled and deeply caring professionals.
Women’s Health Advocate
Across two decades of work in gynaecology, Dr Hugo has positioned himself as a vocal advocate for women’s health needs. You deserve to receive the essential care you need, all while having all your concerns both listened to and addressed.
Your Hysteroscopy Questions Answered
What is the hysteroscopy recovery time?
A hysteroscopy will be completed typically within one day, and aside from a few symptoms similar to your regular period, there will likely be very few side effects involved. If you go under general anaesthesia for the procedure, then you may need to take it easy and rest for a couple of days to fully recover.
Who is a good candidate for a hysteroscopy?
The only way to know where a hysteroscopy could be a viable option for you is to discuss it at length with your doctor. After a review of your current health and medical history, they will be able to determine the right path forward. A hysteroscopy is not the right choice for everyone, and circumstances such as pregnancy or pelvic infections could mean alternative procedures may be a better fit.
How long do I need to stay in the hospital after a hysteroscopy?
A hysteroscopy is a fast and simple procedure. In the vast majority of cases, this will be a day procedure and not require a hospital stay, though if complications arise an overnight stay may be required.
Are there any alternatives to a hysteroscopy?
Depending on the specifics of your condition, your gynaecologist may be able to offer alternatives to hysteroscopy. It may be possible to find the cause of your uterine bleeding using a scan, or by performing a biopsy across your cervix. A sono-ultrasound could also be possible.
What are the hysteroscopy side effects?
A hysteroscopy is an extremely safe procedure. Once completed, most patients experience bleeding afterwards, similar to having your period. You can expect this to last for two to seven days. You will likely also experience pain or cramps. Other symptoms such as severe levels of pain, fever, abnormally heavy bleeding, or vaginal discharge should be discussed with a doctor.
Book an Appointment With Dr Hugo to Learn More
Facing abnormal bleeding and discomfort can be scary, but the ‘not knowing’ is the worst part. Stop fretting about whether something serious could be going on in your body. By booking an appointment today, you can start your journey toward a diagnostic or even operative hysteroscopy, identifying and removing any abnormalities that could be affecting your health. Dr Hugo Fernandes is a leading Melbourne gynaecologist, fertility specialist and he’s only a phone call away. Call today to ask any questions you may have regarding the hysteroscopy process.