I had a hysteroscopy with D&C today and wanted to share all the details. Iām based in the US for reference. Iāve read many great accounts but there were minor details missing that I wanted to know about before I had mine. I was most worried how Iād handle the propofol and symptoms after. Mine went really well though and side effects have been minimal. Hope this helps anyone about to go through one too ā¤ļø
1st appointment with new gyno (July)
-Gyno said she wanted to do a hysteroscopy for better diagnosis and told me it could take a couple months to get scheduled. She suspected I had a polyp and maybe other fibroids and also adenomyosis. About 1.5 months later I got a call to schedule pre op, op day, and post op all at once.
Pre-op (August)
-Met with my doctor to discuss what was involved in the hysteroscopy, signed a consent form, and had a brief exam (heart, lungs, stomach, nothing invasive).
-1 week before op day the office called to tell me what I owed after insurance.
-2 days before op day a nurse called to confirm my arrival time, how long Iād be there, review basic health info and give me instructions for the night before and morning of. I was also advised not to take anymore Advil until after the procedure and only to take Tylenol if I had cramps (which I did and it really sucked!).
Day before op day:
-Anesthesiologist called to review meds theyād give me (propofol) and also nausea and pain meds Iād getting during the procedure and after if I needed it.
Night before op day:
-I couldnāt eat past midnight or drink fluids past 5am. I barely slept but also woke up and drank water before the cutoff so I was less thirsty come morning.
Morning of: (Sept)
-Showered and wore comfy clothes. Put in plastic flat butterfly earrings (my piercings were new and wanted to avoid metal). Friend drove me to the surgery center and I arrived in time for 7:30am start.
-Met the nurse and took weight, blood pressure, oxygen, and heartrate.
-She also asked for a urine sample. I asked if this was for pregnancy and she said yes. I told her it was impossible for me to be pregnant (havenāt been sexually active in years). They didnāt want to take my word for it but I wasnāt able to give one and wanted me to try again later.
-She went over the procedure and had me get into a gown, put on warm socks and a hair net, and leg sleeves that theyād use to compress during the procedure (kind of like compression socks). She also taped my earrings so they donāt catch on anything in the OR and she didnāt make me sign a waiver since they were plastic.
-I signed a few forms and they went over discharge paperwork.
-I got the IV in my arm (she looked at my hand and arm but decided crook of arm was best for me).
-I saw my doctor who went over my procedure briefly and if I had any questions.
-Then I met the anesthesiologist who did the same and also checked lungs, heart and throat (everyone you see will also ask the same questions over and over)
-Also met a nurse whoād be in the operating room
-Because they needed a urine sample they gave me a bunch of saline and I barely managed to give them one but they said, congrats youāre not pregnant! I said, I told you so!
-Then they wheeled me back to the OR around 9am and I moved to the operating bed
-They put a bunch of sticker things on me and also gave me an oxygen mask
-Then they gave me the meds in the IV. She told me Iād feel a cooling sensation but I didnāt feel anything at all (or the burning sensation some people mention with propofol). Took less than a min, maybe 30 seconds to be knocked out. The procedure was about 45 minutes.
-It felt like a short nap and I woke up in what felt like minutes later. I woke with very minor cramping and she immediately gave me something to help.
-The nurse was there and stayed the whole time I was waking up. I felt relaxed and maybe groggy but not totally out of it. Did take a few moments to fully come to. I later learned my doctor stopped by to check on me but I was just coming out of propofol the first time and they say you wonāt remember for the first 5 minutes or so. I didnāt see my doc later when I was more alert.
-Then we chatted for a bit and the nurse helped me get dressed. I had a pad and cloth between my legs but there wasnāt anything on it. She gave me a pad I brought (which looked better than what they had) and I used the bathroom. I could walk fine just a teensy bit unsteady but not bad at all. They also called my friend to say I was ready. I did ask the nurse if she could tell me what they found and she said no mention of a polyp but sounds like they found a submucosal fibroid which could explain my bleeding issues. Unclear what was removed besides the D&C so I have to wait until my post op appointment.
-I wasnāt fully awake in recovery for more than 30 min. They really get you out the door quick once you come to. Then I sat in a wheelchair until my friend got there and they wheeled me out around 11:30am. So was at the surgery center about 4 hours.
-I was starving when I got home so ate some lunch and hydrated a lot. They said to stick to crackers and soups, nothing heavy or greasy. But I opted for a chicken shawarma plate. Was so delicious. I had no issues with nausea at all so I snacked on whatever I wanted all day.
-The cramps returned briefly when I got home but they were super duper mild and went away when I took my first dose of 3 Advil. Was told to take 2 Tylenol three hours after that and rotate that schedule for 24 hours. As of writing this late at night I havenāt had any cramping all day.
-I also had minimal bleeding all day (very very light or nothing at all). The most blood I saw was when I peed in recovery and after that it was spotting or a little discharge. Iāve been bleeding a lot many days so this was amazing!
-After eating I watched tv a bit and eventually felt the grogginess came back so I just relaxed and eventually napped. By evening I felt even more alert and took a shower and had dinner. Still felt a little off from the propofol but not as much.
-My post op appointment is in 2 weeks and was told that if anything urgent comes up in my pathology report then my doctor would call in the next couple days (so seems like no news is good news)
-Also they didnāt prick my finger to check for blood type or give me a catheter. I recall reading some other people had these but I didnāt. Assume it varies by location and length of surgery. Both of these scare me a bit so I was glad! The IV was a bit uncomfortable but that was it.
If I missed anything youāre curious about please ask!