Timing and Details for Hysteroscopic Surgery: Your Questions Answered - Obstetrics and Gynecology

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Hysteroscopic surgery


Hello, Dr.
Lu! I previously underwent a hysteroscopy and discovered that I have polyps, which may affect implantation.
It was recommended that I have surgery to remove them before planning for pregnancy.
I would like to ask when is the appropriate timing for the surgery? Additionally, does Taoyuan Hospital perform hysteroscopic surgery? Is it an outpatient procedure? Can the surgery be done on the same day as the outpatient appointment? I have quite a few questions, and I appreciate your clarification.
Thank you!

carey, 30~39 year old female. Ask Date: 2015/12/29

Dr. Lü Lizheng reply Obstetrics and Gynecology


1.
It is recommended to schedule the surgery right after the menstrual period ends.
2.
Our hospital provides this service.
3.
The procedure cannot be performed on the same day; a prior outpatient evaluation is required.
Sincerely, Dr.
Li-Cheng Lu, Taoyuan Hospital.

Reply Date: 2015/12/29

More Info


Hysteroscopic surgery is a minimally invasive procedure that allows for the examination and treatment of the inside of the uterus. It is commonly used to remove polyps, fibroids, or to address other uterine abnormalities that may affect fertility or cause abnormal bleeding. Given your situation, where a polyp has been identified that could impact implantation, it is indeed advisable to consider surgical intervention before attempting to conceive.


Timing for Hysteroscopic Surgery
The timing of hysteroscopic surgery is crucial, especially when planning for pregnancy. Generally, the best time to perform this surgery is during the follicular phase of your menstrual cycle, which is typically between days 5 to 10 after the onset of menstruation. This timing is preferred because the uterine lining is thinner, which allows for better visualization and access to the uterine cavity. Additionally, performing the surgery during this phase minimizes the risk of interfering with an ongoing pregnancy, should conception occur shortly after the procedure.

If you are considering pregnancy, it is advisable to schedule the surgery as soon as possible after your menstrual cycle, allowing adequate time for recovery before attempting to conceive. Recovery from hysteroscopic surgery is usually quick, and many women can resume normal activities within a few days. However, it is essential to follow your doctor's advice regarding when it is safe to try for pregnancy post-surgery.


Availability of Hysteroscopic Surgery at Taoyuan Hospital
Regarding your inquiry about Taoyuan Hospital, it is important to confirm directly with the hospital or your healthcare provider whether they offer hysteroscopic surgery. Many hospitals do provide this service, and it can often be performed on an outpatient basis, meaning you may not need to stay overnight.
In outpatient settings, patients typically undergo the procedure in the morning and can go home the same day, provided there are no complications. However, the specific protocols can vary by institution, so it is best to check with Taoyuan Hospital for their specific offerings and scheduling procedures.


Scheduling the Procedure
When you visit the outpatient clinic, it is common to have a consultation with your gynecologist who will review your medical history, discuss the procedure in detail, and answer any questions you may have. If everything is in order, it is possible that the doctor may schedule the surgery for the same day, depending on the hospital's availability and your health status.
It is advisable to prepare for your appointment by writing down any questions you have and discussing your concerns about the surgery. This will ensure that you have all the necessary information to make an informed decision.


Conclusion
In summary, the timing of your hysteroscopic surgery should ideally align with the early days of your menstrual cycle to facilitate a successful procedure. Confirming the availability of this surgery at Taoyuan Hospital and understanding their outpatient protocols will help you plan effectively. It is essential to maintain open communication with your healthcare provider throughout this process to ensure that all your concerns are addressed and that you feel comfortable with the surgical plan. Good luck with your upcoming procedure and your journey towards pregnancy!

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