When is the best time to have hysteroscopy?

Hysteroscopy is usually performed 3-7 days after menstruation is complete. Hysteroscopy is mainly used to diagnose and treat diseases caused by endometrial lesions, abnormal uterine bleeding, infertility and other reasons. It is necessary to avoid the menstrual period and acute inflammation period before the examination.

3-7 days after menstruation, the endometrium is thinner and the field of view is clear, making it easier to observe small lesions in the uterine cavity and reducing the risk of intraoperative bleeding. At this time, the cervix is ​​in a naturally relaxed state, which is conducive to the entry of instruments and reduces the difficulty of operation. Before the examination, it is necessary to complete basic examinations such as blood routine, coagulation function, and leucorrhea routine to rule out reproductive tract infection. If there is acute inflammation such as vaginitis, the infection needs to be controlled before arranging an examination. Slight abdominal pain or a small amount of bleeding may occur after the examination, which usually resolves on its own in 1-3 days.

In special circumstances, the inspection time needs to be adjusted. For patients with abnormal uterine bleeding, examinations can be arranged to determine the cause when the amount of bleeding decreases. Infertile patients need to complete the examination in the early follicular phase in conjunction with the ovulation cycle. Postmenopausal women can have the test at any time if there are no contraindications, but they need to use estrogen in advance to soften the cervix. Therapeutic operations such as intrauterine adhesion separation surgery need to be performed as soon as possible after menstruation to avoid endometrial hyperplasia affecting the surgical effect.

After the examination, it is necessary to keep the perineum clean, prohibit sexual intercourse, bathing and swimming within 2 weeks, and avoid strenuous exercise. If you have fever, persistent abdominal pain, or bleeding exceeding menstrual volume, you should seek medical attention promptly. After surgery, antibiotics are used as directed by the doctor to prevent infection, and short-acting contraceptive pills are taken to regulate endometrium repair if necessary. Regular ultrasound examinations are performed to evaluate the recovery of the uterine cavity, and follow-up treatment plans are formulated based on the pathological results.