Hysteroscopy: implications, complications and their treatment
Complications of hysteroscopy the uterus, despite maloinvazivnogo and the importance of the method in the diagnosis and treatment of gynecological pathologies are not uncommon. Unfortunately, not every women the procedure is completely. What are the unpleasant consequences, and can they be avoided? About this article.
The nature of the possible complications
Adverse effects hysteroscopy can be divided into several groups:
Depending on the peculiarities of the female organism, the reaction may be different:
- Nausea, disorder of consciousness or dizziness due to the use of a solution based on glycine.
- If you use gas, in some cases it causes heart rhythm disturbance.
- The use of the liquid variant diagnosis provokes the intensification of blood circulation.
- Drugs used for anesthesia can cause allergic reactions (usually the anaesthetist is informed in advance about the presence/absence of intolerance of drugs by the patient; therefore, this complication is rarely seen).
- If a woman suffers with diabetes, then during the liquid hysteroscopy using tools such as Sorbitol, Dextran, and others, it can occur pulmonary edema, hemolysis (destruction of red blood cells), a sharp decrease in blood glucose.
- The occurrence of hemolysis is possible in the use of distilled water.
- When you hit the gas in the bloodstream can occur and air embolism.
Complications of surgical procedures
Complications this group will occur if the procedure was done unprofessionally. These include various damages of internal organs (e.g., punctures). They are characterized by bleeding, pain and increased the postoperative period.
In addition, the effects of surgical intervention include the following complications:
- Burn injury of the intestine in the case of laser therapy.
- The accumulation of blood clots on the inner surface of the uterus. Because the neck after surgery is in spasm, the blood is not able to go outside.
- The formation of adhesions in the uterine cavity. This adhesions, or adhesions, are presented connective tissue. They occur at the place of operation, especially in case of large (by area) in the volume.
- Inflammatory processes of the reproductive system (adnexitis, endometritis and others) can occur after the hysteroscopy when the penetration of microorganisms inside.
Other complications of hysteroscopy
There are other complications that often occur in the first few days. When they are protracted or increased severity need to consult with your doctor:
- Temperature. If, after the hysteroscopy, the temperature is 37 or above, it tells about the development of the inflammatory process. You must inform the doctor may require receiving antibacterial agents. This reaction may be associated with the restoration of the endometrium after hysteroscopy with curettage or as a result of penetration into the uterus of germs. In the first case, 37,1-37,5 – normal levels in the first two days after the intervention.
- The recurrence of endometrial polyp. The occurrence of this complication is possible in case of incomplete removal of the polyp or as a result of hormonal disturbances.
- The presence of precipitates. At first (2-3 days after diagnosis) discharge bloody. Gradually (over 2 weeks) they change color to yellow. Normal should not be enhance the production of blood, the appearance of clots.
- Soreness in the chest. The nerve endings in the endometrium and mammary glands are closely associated reflex connections. So if a chest pain after surgical intervention on the uterus is normal. Another reason may be the excess progesterone.
- Thrush. It causes reduction in immunity, stress received by the body during hysteroscopy, the presence of genital infections.
- Pain. This is a natural reaction to the intervention. Depending on individual sensitivities and characteristics of the operations, the pain lasts for several days. Often can hurt the lower back and lower abdomen.
What to do to avoid complications?
How can we prevent the effects of hysteroscopy? Yes, if you follow the recommendations of the attending physician and to follow some rules:
- after the procedure is necessary to exclude sexual contacts for at least 3 weeks;
- during the same period you should avoid swimming, saunas, baths, swimming in open sources;
- every day to measure body temperature, better after sleep and before him;
- to exclude active exercise, workout, not lift anything heavy (>3 kg);
- for personal hygiene only use pads, tampons deleted;
- do not use intravaginal products (if they are not prescribed by a doctor);
- to follow the diet, preventing constipation;
- to prevent overflow of the bladder.
If the temperature rises after hysteroscopy, the discharge becomes profuse, the pain is worse every day, we urgently need to see a doctor. But in most cases, unpleasant consequences and complications after the intervention are not dangerous, are not pathologies and successfully treated. So the question «to do or not,» hysteroscopy has only one answer – to do.