Why after hysteroscopy abdominal pain?


Hysteroscopy is used in the gynecology for examination of the uterine cavity. The procedure involves the insertion of a hysteroscope into the uterine cavity for visual inspection of the internal surface of the body. The hysteroscope is equipped with a camera which allows the doctor to obtain the necessary diagnostic information. The procedure is performed under General anesthesia, which provides painless introduction of the hysteroscope into the uterus. A drawback of the study is the possibility of pain after the hysteroscopy.

The purpose of the hysteroscopy

Hysteroscopy is not always has only diagnostic purpose. A survey carried out in the following cases:

Why after the procedure aching belly? How many days the pain persists? The fact is that before the introduction of the hysteroscope, the doctor carries out the extension of the cervix with special instruments. This process is quite painful, so General anesthesia is used. The body before the test expand with the introduction of a liquid or gas. Therefore, after the intervention of the body is reduced, which can also cause pain. Typically, the pain after the procedure lasts for 3-4 days.

In addition to the contractile activity of the uterus, cause pain after hysteroscopy is an inflammatory process.

Inflammation can develop in the uterus or fallopian tubes. In this situation, in addition to pain, there may be vaginal discharge and fever. Selection, often have an unpleasant odor and an unusual color – yellow, yellowish-gray, brownish with a greenish tinge. The body temperature rises to febrile digits — 38-39°C.

If after the hysteroscopy your abdomen hurting more than four or five days, you should seek the advice of a gynecologist. The presence of pain for a long time may indicate the occurrence of complications. In the case of diagnostic tests virtually no complications arise. However, to exclude unwanted effects can only a doctor after examination and necessary tests.

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Pain syndrome may be accompanied by bleeding, similar to menstruation. It is the norm in the case if in the process of hysteroscopy were curettage of the endometrium. However, spotting can be considered normal within 5-6 days. Longer highlight also are the reason for urgent treatment to the doctor.

Prevention of complications

In order to prevent possible complications, accompanied by pain syndrome, it is necessary to properly prepare for the exam. Preparation for hysteroscopy involves a series of events:

  • inspection of the gynecologist;

  • consult a therapist, if necessary – other specialists;
  • directly before the procedure for examination by the anesthesiologist to address the issue of anesthesia;
  • ECG;
  • if necessary colposcopy;
  • laboratory tests of urine and blood;
  • the control of blood clotting;
  • biochemical analysis of blood;
  • smear on Cytology from the cervix;
  • a study of the vaginal flora.

Since the intervention, in most cases, is performed under General anesthesia, the day of the study to eat is strictly prohibited.

In addition, you need to prepare the gut to reduce the risk of flatulence on the day of surgery. With this purpose, a special diet is prescribed:

  • Diet diet should be observed for 3-4 days prior to hysteroscopy.
  • Diet should not include foods that encourage a higher production of intestinal gas.
  • On the eve of the examination, the lunch should be light and dinner should be avoided at all.
  • The evening and morning before the procedure it is advisable to do a cleansing enema.
  • On the day of the study you cannot take the liquid and Smoking.
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The treatment of pain

After examination, the doctor will prescribe a treatment that will eliminate pain. If signs of inflammation, treatment in this case is symptomatic. For pain relief are prescribed medicinal drugs from the group of antispasmodics (Nospanum, Papaverine) and analgesics (Tempalgin, Ketorol, Ibuprofen), or combination of tools – Novigan, long Nurofen, Tempalgin and others.

In the case of development of inflammatory process shown antibacterial and anti-inflammatory therapy. Treatment in this case is a longer time and requires careful medical supervision.

Contraindications for the procedure

The study has contraindications to. These include:

  • an active inflammatory process in the small pelvis organs;
  • cancer of the cervix;
  • pregnancy (except abnormal flow, requiring emergency intervention);
  • infringement of process of coagulability of blood;
  • serious somatic diseases in decompensation;
  • infectious diseases in acute period;
  • stenosis of the cervix.

In the above cases, hysteroscopy is not possible, because it can be complicated by adverse effects.