Outpatient Hysteroscopic Procedures are office based treatments which means the patient walks out after the procedure as there is no need for a general anaesthetic. It is ideal for women who have gynaecological problems but don’t wish to have the inconvenience of needing to take too much time off work. Olivia is among a small group of gynaecologists in Leicester who have developed this service in the NHS. If you prefer to undergo your hysteroscopic procedure under local anaesthetic Olivia can perform these at Spire Leicester Hospital but in the theatre setting. You can choose to have your procedure under local anaesthetic or general anaesthetic.
Diagnostic Hysteroscopy is performed to diagnose or exclude endometrial pathology – abnormalities of the womb lining. A small telescope camera is passed through the neck of the womb and an image of the inside of the womb is seen on a monitor. The procedure takes less than 10 minutes and allows Olivia to check for polyps, fibroids growing inside the womb, pre-cancerous or cancerous abnormalities. The camera is then removed and a biopsy sample of the womb lining is taken. If no abnormality is seen you may choose to have a Mirena IUS (hormone coil) fitted at the end of the procedure to help with problematic periods, as part of HRT or contraception if this is appropriate for you. If polyps or fibroids are found inside the womb, you will be offered a Myosure procedure to remove them.
A view inside a normal womb with a hysteroscope
Myosure is a safe, effective and fast way of removing polyps and fibroids from inside the womb with only minimal discomfort. Polyps or submucous fibroids may contibute to or cause heavy painful periods or bleeding in between the periods or after the menopause. Removing them is likely to treat these problems. Removing the lesions also allows for analysis of the tissue fragments to check for pre-cancer and cancer within the lesions.
Novasure is a highly effective way of managing heavy periods, particularly over the age of 40. It works by cauterising the womb lining thereby significantly reducing the heaviness of the periods or stopping them altogether. Success rates are over 90%. You must have completed your family as pregnancy following endometrial ablation is potentially very dangerous. Olivia can offer Novasure at Spire hospital as a daycase procedure either under local anaesthetic, with sedation or under general anaesthetic if you prefer.