A hysteroscopy is a commonly performed procedure and considered relatively safe. The majority of women who have a hysteroscopy do not experience any complications.
Although the risks are small, it is important to be aware of potential side effects and complications.
Side effects
Side effects after having a hysteroscopy are usually temporary but may include:
- pelvic pain and cramps
- pain in your shoulders, caused by the gas or fluid used to inflate your womb (usually clears up within 48 hours)
- vaginal bleeding and discharge. This usually clears up after a few days but can take several weeks.
Complications
Serious complications from diagnostic hysteroscopy occur in around two in every 1,000 women.
Complications that are specific to a hysteroscopy and occur very rarely include:
- an infection of the womb or pelvis, usually treated with antibiotics
- accidental damage to the womb during the procedure, such as perforation (a hole), which may lead to bleeding. In very rare cases you might need further surgery or a blood transfusion.
Less serious complications of a hysteroscopy include the need for a repeat procedure if the doctor failed to get a clear enough picture of the inside of the uterus. Some women also report prolonged pain in the pelvis or shoulder (deferred pain) after having the procedure.
The complications of any operation can include an unexpected reaction to the anaesthetic, excessive bleeding or developing a blood clot, usually in a vein in the leg.
Your risk of complications is slightly increased if you have had previous surgery to your uterus or cervix, you have a pre-existing medical condition or are clinically obese.
