Understanding Operative Hysteroscopy: A Comprehensive Guide to this Minimally Invasive Gynecological Procedure

---

Operative hysteroscopy is a minimally invasive procedure that allows gynaecologists to diagnose and treat various uterine conditions. This method is especially effective in managing abnormal uterine bleeding, fibroids, polyps, and adhesions. Dr. Shubhra Goyal, a trusted expert in gynaecology and reproductive health, offers this advanced technique to help women restore and maintain uterine health. Here, we’ll explore the benefits, indications, and recovery process of operative hysteroscopy to give you a comprehensive understanding of what to expect from this procedure.

What is Operative Hysteroscopy?

Operative hysteroscopy is a procedure performed using a hysteroscope, a thin, lighted tube inserted through the vagina and cervix into the uterus. Unlike diagnostic hysteroscopy, which focuses on examining the uterine cavity, operative hysteroscopy allows for the treatment of specific intrauterine issues. With this method, doctors can address several gynaecological conditions without the need for more invasive surgery, making it an excellent choice for eligible patients.

Common Conditions Treated with Operative Hysteroscopy

1. Uterine Fibroids Small uterine fibroids, known as submucosal fibroids, can be effectively removed through operative hysteroscopy, which can relieve symptoms like heavy bleeding and pelvic pain.

2. Endometrial Polyps Polyps are growths within the uterine lining and are often associated with abnormal bleeding. Operative hysteroscopy allows for their safe removal, improving symptoms and reducing the risk of other complications.

3. Intrauterine Adhesions (Asherman’s Syndrome) Scar tissue within the uterus can be gently removed during an operative hysteroscopy, which can improve fertility outcomes for women experiencing difficulty conceiving.

4. Congenital Uterine Anomalies Certain congenital uterine conditions, such as a uterine septum, can be corrected using hysteroscopy to restore normal uterine structure.

Procedure Overview

Operative hysteroscopy is generally performed on an outpatient basis. After administering local or general anaesthesia, a hysteroscope is inserted through the cervix, allowing Dr. Shubhra Goyal to visualise the uterine cavity. Specialized instruments, such as scissors or laser devices, are then used to perform the necessary treatment based on the patient's condition.

Benefits of Operative Hysteroscopy

• Minimally Invasive: This procedure avoids abdominal incisions, reducing recovery time.
• Precision: The use of a hysteroscope allows for accurate treatment.
• Reduced Recovery Time: Patients can typically return to daily activities within a few days.
• Enhanced Fertility: For women with adhesions or other fertility-impacting conditions, hysteroscopy can improve the chances of conception.

Recovery and Aftercare

Post-procedure, patients may experience mild cramping and spotting for a few days. Rest and over-the-counter pain relief are usually sufficient for managing discomfort. Dr. Goyal may recommend avoiding strenuous activities for a short period and scheduling a follow-up visit to monitor recovery. Patients generally resume normal activities within a week, though recovery may vary depending on individual circumstances.

Risks and Complications

While operative hysteroscopy is safe, it carries minimal risks, such as infection, bleeding, or injury to the uterus. These complications are rare, especially in the hands of experienced professionals like Dr. Shubhra Goyal, who prioritises patient safety.

Why Choose Dr. Shubhra Goyal for Operative Hysteroscopy?

With extensive experience in gynaecology and reproductive health, Dr. Shubhra Goyal provides a patient-centred approach to operative hysteroscopy. Her expertise ensures that each procedure is carried out with precision, care, and an emphasis on achieving optimal health outcomes. Dr. Goyal is committed to educating her patients and empowering them with the information they need to make informed decisions about their health.