What preparations are needed before hysteroscopy

Before hysteroscopy, preoperative assessment, personal hygiene preparation, medication adjustment, dietary control, and psychological preparation are required. Mainly include preoperative examination, fasting and water restriction, avoiding sexual life, stopping anticoagulant drugs, preparing sanitary products, etc.

1. Preoperative examination

Before hysteroscopy, it is necessary to complete laboratory tests such as blood routine, coagulation function, and infectious disease screening to evaluate whether there are any contraindications to surgery. An electrocardiogram can be used to check the risk of heart disease. If necessary, a gynecological ultrasound examination is required to clarify the condition of the uterus. If there is acute genital tract inflammation or severe medical disease, surgery needs to be postponed.

2. Fasting and no drinking

Patients using intravenous anesthesia must strictly avoid solid food 6-8 hours before surgery and drink water 2 hours before surgery. People under local anesthesia can eat a small amount of liquid diet. Fasting can reduce the risk of vomiting and aspiration during anesthesia, and emptying the bladder before examination can help obtain a clear view.

3. Avoid sex

Sexual intercourse and vaginal douching should be avoided 3 days before the examination to prevent damage to the vaginal microenvironment or introduction of pathogens. The best time for inspection is 3-7 days after menstruation. At this time, the endometrium is thin and there is no active bleeding, making it easy to observe the uterine cavity shape and lesions.

4. Discontinue anticoagulant drugs

People who have been taking anticoagulant drugs such as aspirin enteric-coated tablets and warfarin sodium tablets for a long time should stop taking them according to the doctor's advice 5-7 days in advance to reduce the risk of intraoperative bleeding. Diabetic patients need to adjust their blood sugar-lowering plan, and patients with high blood pressure should take antihypertensive drugs regularly to control and stabilize their blood pressure.

5. Prepare hygiene products

It is necessary to bring a sanitary napkin as a backup on the day of the examination. A small amount of vaginal bleeding may occur after the operation. Wear loose clothing that is easy to put on and take off, and avoid wearing metal jewelry. It is recommended that family members accompany you to and from the hospital. It is not advisable to drive or perform precision operations within 24 hours after anesthesia.

After the examination, the perineum should be kept clean and dry, and bathing, swimming and heavy physical activity should be avoided for 2 weeks. Postoperative vaginal bleeding that exceeds menstrual flow or persistent fever requires prompt follow-up. A light diet combined with high-quality protein can help with wound repair, and appropriate supplementation of iron-containing foods can prevent anemia. Maintain a regular schedule to prevent anxiety from affecting your recovery.