Hysteroscopy and D and C 

Post-operative instructions

Hysteroscopy Procedure

A hysteroscopy is a common procedure that allows the doctor to visualize the uterine canal and uterus with an endoscope. It is often used to diagnose and treat abnormal uterine bleeding. During the procedure the doctor inspects the pelvic area for any abnormal changes. A D&C (Dilation & Curettage) may or may not be performed at this time. A D&C is performed by introducing dilators through the vagina into the cervical canal and scraping of the uterus with a curette to remove substances, including blood.

Effects of Anesthesia:

You may feel somewhat dizzy or sleepy after surgery due to the side effects of the anesthesia. General or Intravenous anesthesia agents can remain in your body for up to 24 hours. It is advised not to operate heavy machinery, drive a motor vehicle, consume alcohol, or make any important business decisions for the next 24 hours. Try to rest for the remainder of the day.

What to expect post-surgery

Light spotting and staining is expected for up to ten days after surgery. Use a sanitary pad during this time and change it regularly. DO NOT use tampons for one week. If you experience heavy bleeding with large clots, call your doctor's office.

Pain Management

After D&C patients tend to experience some discomfort such as cramping and/or pain. This is normal. Your doctor may recommend non-steroidal anti-inflammatory drugs (NSAIDs) such as Motrin or Ibuprofen to manage your pain. However your doctor may prescribe a pain medication, based on the situation, which should be taken as directed.

Activity

Patients usually return to their normal activity within a day or two. Women should refrain from sexual intercourse or using a tampon for at least seven days or until your post-op visit with your doctor. Douches should also be avoided for at least two weeks after surgery to reduce likelihood of infection.

Bathing/Swimming

You may shower when you feel comfortable. It is recommended that you not swim or soak in a hot tub or bathtub for two to four weeks. This is to prevent anything from entering the vagina, which may cause an infection.

Notify your physician if any of the following occur:

• You have a fever greater than 101 degrees.
• You have severe pain or cramping.
• You have heavy vaginal bleeding.

Contact the MIGS Center 617-243-5205 with any questions.