You and your doctor have many choices when it comes to anesthetics. A general anesthetic is an option only in a hospital or day surgery setting. Spinal anesthesia, also called a spinal block, involves injecting anesthetic into your spinal cord. As with general anesthetic, a spinal block is typically used only in hospitals and day surgery centers. A local anesthetic means that the doctor will inject an anesthetic directly into your cervix. You may feel a pinch and a sting with the injection.
However, you may experience some cramping in your uterus when the doctor removes the lining with a curette. This may involve taking a pill for anxiety, or it may involve injecting medication through an IV.
He or she will probably tell you not to eat or drink anything starting the night before the procedure. The device or medicine can soften the cervix or start to dilate it. Your doctor or nurse will give you fluids and medicines through the IV. Some of these medicines will make you feel relaxed, sleepy, or numb during the procedure. During a hysteroscopy, a doctor puts a small camera inside the uterus to look for problems that could be causing the symptoms. He or she might also scrape away some of the lining of the uterus.
This might take up to a few hours. When you are able to go home from the hospital, someone else should drive you. Your doctor or nurse will tell you when you can do your usual activities again. He or she will also tell you when you can have sex and put things, such as tampons, in your vagina. The most common side effects are mild cramping and slight bleeding from the vagina called spotting.
These can last for a few days. A small amount of bleeding like a light period may last for 10 to 14 days. Bleeding may become heavier with increased activity, such as lifting. Your next period will usually begin 3 to 6 weeks after the operation. You may find this period is heavier than usual. If you were using an oral contraceptive pill before the procedure, continue using it as usual.
Your next period will begin when you finish the packet. Seek urgent medical advice from your doctor or emergency department if you experience any of the following:. This publication is provided for education and information purposes only. It is not a substitute for professional medical care. Information about a therapy, service, product or treatment does not imply endorsement and is not intended to replace advice from your healthcare professional.
Readers should note that over time currency and completeness of the information may change. Opening your cervix can cause cramping. After dilating opening the cervix, tissue from inside the uterus is removed with a scraping instrument known as a curette, a suction tube, or other specialized instruments.
Your doctor may want to look inside your uterus by inserting a special device called a hysteroscope, which is attached to a camera. A hysteroscope will allow your doctor to see a magnified view of the inside of the uterus.
Occasionally, complications do occur during or right after surgery. Sometimes, complications will not be discovered until long after the procedure. The possible complications include:. Uterine perforation is when a hole is accidentally made in the uterus by a surgical instrument.
The doctor usually will know right away if the uterus has been perforated.
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