No period after hysteroscopy and D&C

periods after hysteroscopy Answers from Doctors HealthTa

After my hyst and lap I had a small bleed a week later and then AF showed up 57 days after that, so I think it's fairly common. It took a few cycles for it to settle down back to around the usual 33. I can only speak of my experience with a d&c - not the lap. I had a d&c last year after a missed m/c around 8 weeks Hi Tasha, I had a D&C in December. The first period I had after was very heavy and very painful. Flow was bright red in color, which was different for me. (Sorry to be too graphic.) However, the second one was a bit better, slightly lighter flow and just uncomfortable back cramping for about 3 days I had a hysteroscopy two weeks ago, a polyp and some fibroids were removed and all seemed fine. over past couple of days I have definitely had my first post op period, began light but tonight is really heavy with big clots. i was told to expect my first period 4-6 wks after the op. Has anyone else had a similar experience - did your periods.

Post Op Instructions - Hysteroscopy and D&C Newton

  1. g menstruation. Most women will have a period within four to six weeks after the pregnancy loss, but for others, it may take as long as two to three months before menstruation returns to normal. 1
  2. I am 41. I had a hysteroscopy almost 4 weeks ago with some very mild spotting just after and then it was fine, and my stitches look to have healed well externally. Then my period started almost 2 weeks ago (so 2 weeks after the op, and more or less on time give or take a day or so)
  3. Hysteroscopy tomorrow, period due, please help! (5 Posts) Add message | Report. twirlymum Sun 05-Jun-11 21:35:51. I am due to have a hysteroscopy tomorrow morning. When I went for my pre-op, I told the nurse my period was due on the date in question, and she said that was ok, in her words 'we can't schedule surgery around menstrual cycles'

Normal: After d&c, it's hard to predict what kind of period you will get. Good luck! Send thanks to the doctor. Dr. Gustavo Ruiz de Castilla answered. Hysteroscopy and D&C are done for both diagnostic and therapeutic reasons. Diagnostically these procedures can detect polyps, fibroids and cancer. The. Beware of the 1st Period After D. BEWARE: I had a D&C on 8-4-06. I had a couple of light spots over the last couple of weeks, but on Friday (7 weeks later) my period really started. I just wanted to let everyone know, who doesn't know already, what to expect. I have never in my whole life seen so much blood On average, it can be around two weeks to six weeks after a D&C, but the time will vary for each person. 2  If you had a miscarriage, your hormone levels will have to return to normal before you have a period again. Several factors make predicting the return of your period after a D&C far from an exact science, including Most women who have a D&C and hysteroscopy will be able to go home the same day, although someone else will need to accompany and drive them. In the next few days, women may experience mild cramping or slight bleeding due to the procedure and the recovery that follows

No menstrual cycle 3 months after a D&C — The Bum

How and When does a woman have periods after D&C procedure

A Hysteroscopy is an examination of the inside of the cervix and uterus using a thin, lighted, flexible tube called a hysteroscope. A hysteroscopy can be used to: investigate symptoms or problems - such as heavy periods, unusual vaginal bleeding, postmenopausal bleeding , pelvic pain, repeated miscarriages or difficulty getting pregnant Hi, I had a d&c on the 19th January and it went as well as could be expected, no complications. Physically, I had cramping only on the day of the procedure and a small amount of bleeding for 10 days after.For the last 2-3 days, I've been getting.. Late Period after Hysteroscopy: i was NOT told to abstain from DTD before the Hysteroscopy, and we did have sex once in the fertile window, 3 days before and 4 days before O. I think I ovulated one or 2 days after the procedure, which was just a look with the camera, no surgery. Everything looked good. Now I'm 2 days late, which never happens, and I wonder if the procedure. I am of age 55. About 18 months into menopause, I got my period (all normal signs and symptoms as before.). I wasn't worried, but told my doctor. She recommended ultrasound (normal) and hysteroscopy. I just finished the hysteroscopy, with no pain relief except advice to take acetaminophen before going in (NSAIDs bother my stomach) Jan 20, 2016 at 1:35 PM. I had a D&C on December 16th after a stillbirth on December 7th. I just got my period yesterday, on the 19th of January. So far, day 1 was light and day 2 has been medium-heavy with lots of cramping. Pain totally managed by one Aleve I took at 8:30 this morning

Anyone had delayed period after Hysteroscopy & Laparoscopy

Similar to postpartum, our period can begin anywhere from 2 weeks to several months after your D&C procedure varying on several factors like how far along you were, interventions, hormones, and more. When do you ovulate after miscarriage After these procedures, you are likely to have a backache or cramps similar to menstrual cramps. Expect to pass small clots of blood from your vagina for the first few days. You may have light vaginal bleeding for several weeks after the D&C. If the doctor filled your uterus with air, you may have gas pains or your belly may feel full Additionally, hysteroscopy can be used with other procedures, such as laparoscopy, or before procedures such as dilation and curettage (D&C). In laparoscopy, your doctor will insert an endoscope (a slender tube fitted with a fiber optic camera) into your abdomen to view the outside of your uterus, ovaries and fallopian tubes After a hysteroscopy, you may have: cramping pains for a day or two, like those you get during a period. feeling or being sick. bleeding from your vagina - this usually gets better after a few days, but can last for up to a week, depending on if you've had any treatment

Dilation and curettage (D&C) is a procedure to remove tissue from inside your uterus. Doctors perform dilation and curettage to diagnose and treat certain uterine conditions — such as heavy bleeding — or to clear the uterine lining after a miscarriage or abortion Recovery After a D&C. Dilation and curettage (D&C) is a brief surgical procedure in which the cervix is dilated and a special instrument is used to scrape the uterine lining. Knowing what to.

Center for Menstrual Disorders in Rochester, NYWomen's health after 40: an honest discussion

Hysteroscopy is the exam of the inside of the cervix and uterus using a thin, lighted, flexible tube called a hysteroscope. Your healthcare provider inserts the device through the vagina. Your provider may use hysteroscopy to: Prevent bleeding by destroying tissue using electric current, freezing, heat, or chemicals I had a miscarriage earlier this year and had a D&C. 4 weeks after the D&C I started my period. However there was alot of deep placental tissue left and I had a hysteroscopy to get that removed. After the hysteroscopy the doc put me on estrogen for 4 weeks and progesterone for 7 days period after hysteroscopy/ D&C to remove polyps - posted in IVF Ages 35+: Hi, I did my first round of IVF in June and although the embryos looked good, they didnt implant. A week later they found a poylp while doing a hysterscopy that hadnt been there before. Last Thursday I had a hysteroscopy/ D&C to remove a polyp. I bled lightly Thursday until Monday, then Tuesday started to bleed quite.

First period after a D&C, Laparoscopy, and Hysteroscopy

  1. I bled lightly after the D and C and then had one day of very light spoting upon feeling ovulation pain a few weeks after the procedure but no period came after that. I then had a day of very light spotting after feeling ovulation pain about 4 days ago too, but am now at 8 weeks and 3 days post D and C and no period
  2. MD. This is my 4th month after hyterocopy but my period has been unusual span for 10days but this month am on my 13th day and am still spotting. My doc want me to have another procedures and am very View answer. Answered by : Dr. Dalia Muraleedharan ( OBGYN) Ultrasound showed thickening of the womb. On hysteroscopy
  3. Suggest treatment for heavy vaginal bleeding after a hysteroscopy. Had a hysteroscopy on thursday 27th October. also had endometrial biopsy done as endometrium was very thick. original problem was very heavy bleeding and periods lasting 2-3 weeks at a time. surgeon View answer
  4. I had an ablation in March along with D&C, Hysteroscopy and laproscopy. They removed a polyp and fibroid and did the ablation to prevent further polyps I was told. I had no problems for two months then I started having hot flashes at night. Then four months after I started spotting. I thought it was just what they said might be a light period
  5. istered. If the operation is performed on an outpatient basis, the patient may leave the hospital after two hours
  6. Diagnostic hysteroscopy lets you diagnose the problems of the uterus and confirm results for other tests. It is often used with other procedures, such as with laparoscopy, dilation and curettage (D&C), or cervical biopsy. In this process, a thin tube called an endoscope that has a camera in it is inserted into your abdomen

Hysteroscopy after D&C. Hi everyone. I had a mmc at 10 weeks followed by a d&c on 5/5. My RE told me after 6 weeks if I didn't get my period to come in and I could start medicated cycles again. When I went in at 6 weeks they took an ultrasound and found unknown fluid in my uterus. The Dr. advised that I should schedule a hysteroscopy to go in. weeks - no tampons, no douching, no intercourse. Also, it is best to avoid soaking in a tub or swimming as bacteria in the water can enter the uterus in this way. Bleeding: You will likely have a small amount of bleeding after your procedure. It should not be heavier than a light menstrual period and will probably resolve spontaneously within

Saught medical attention at this time due to change in my cycle (no period, spotting for 3 months and then a period that lasted 3 weeks). Put on a 4 day dose of progestin, periods resumed as normal. My history over the past six months :Oct15 - 20th (heavier than normal - no pms).. Each of my hysteroscopys have been as an out patient, so I just arrived at a set time and left after about 30/45 minutes. How to prepare for the Hysteroscopy. Personally I have found that all I need to do in preparation is have a shower so I feel comfortable and clean; I make sure that I relax and don't get stressed before the procedure After the D&C Hysteroscopy Procedure. The recovery time is generally short following a D&C Hysteroscopy Procedure. Cramps, similar to menstrual cramps, will probably be the patient's strongest sensation immediately after a D&C Hysteroscopy. Although most women experience cramps for less than an hour, some women may have cramps for a day or more

First period after a hysteroscopy - Healthy Happy Woma

  1. The treatment for uterine scarring is removal of scar tissue at the time of hysteroscopy. After the procedure, a balloon catheter is typically placed inside the uterus for a short time and estrogen therapy is given to decrease scar reformation. Recurrence rates can be up to 33% in mild to moderate adhesions and 66% in severe adhesions
  2. Hysteroscopy is a procedure may be performed on women for the treatment of abnormal vaginal bleeding, fibroids and polyps of the uterus, and surgical scarring from D&C. Hysteroscopy complications will most likely include light vaginal bleeding. Recovery time for hysteroscopy depends on what condition is being treated
  3. istered. After the surgery, you will be made to rest for about 2-5 hours before going home. Generally, it may take 2-3 days for complete recovery

hi erika---no you are not being redundant !!. i am still spotting with at times it looks like it will never stop. i have to wear a pad. i kinda call it heavy spotting. but it is better since the begging days. my cycle which was 10 day before the biopsy-hysteroscopy only lasted for 2 and a half days, it was so short. so i guess my body is. A procedure called dilatation and curettage (D&C) used to be common to examine the womb and remove abnormal growths, but now hysteroscopies are carried out instead. What happens during a hysteroscopy. A hysteroscopy is usually carried out on an outpatient or day-case basis. This means you do not have to stay in hospital overnight

Fast tracked Hysteroscopy, D&C, Hysterectomy. 29 Nov 2018 04:13. Hi there, I'm new to all this and just looking for someone who's experienced this and what their outcome was. I have been on my period for over 6 weeks. Last Wednesday, I went in for a uterine biopsy (OUCH!!) and a few days later landed in the ER due to extreme bleeding Endometriosis surgery should always start with an evaluation of the endometrial cavity by hysteroscopy. D&C is a touch-and-feel blind procedure. Hysteroscopy has largely replaced this procedure as the current standard of accepted practice. The best time to perform hysteroscopy is immediately after your period, or in the early follicular phase After polyp removal surgery, menstrual bleeding reduces and in some cases completely stops. Polyp removal through endometrial ablation involves removing the lining that facilitates fetus growth, according to John Hopkins Medicine. Uterine polyps are growths of endometrial tissue in the uterus. Most polyps are benign, but they can become. Recovery Instructions for D&C Hysteroscopy Gently scraping or suctioning the tissue from inside the uterus (dilation and curettage or suction curettage); with or without looking using a hysteroscope - is a surgical procedure involving the use of general anesthesia. If you experience any problems after being discharged to home, during office hours call 757-481-3366. After 4:3 Thanks for sharing your story with me hun!!! My normal period would be the same as my ticker and I am on CD 28 not including the surgery at all. My normal cycles range from 24 to 33 days, so I am not sure if the light spotting is AF or just weird spotting left over from the surgery. When I had the surgery I bled for 2 days straight and then it.

What to Know If You Have No Period After a Miscarriag

  1. Hysteroscopy is a very safe procedure. However, there is a small risk of problems. The uterus or cervix can be punctured by the hysteroscope, bleeding may occur, or excess fluid may build up in your system. In very rare cases, hysteroscopy can cause life-threatening problems. Adhesions: Scars that can make tissue surfaces stick together
  2. Most women feel they can return to normal activities, including work, the day after having a hysteroscopy. Some women return to work later the same day. However, you may wish to have a few days off to rest, particularly if you had treatment such as fibroids removal and/or a general anaesthetic was used
  3. Hi..I am 69 and had a d and c and hysteroscopy 2 momths ago.Had slight cramping and show for about 2 weeks after.Then no show for about another 2-3 weeks.The all of a sudden show again 4 or 5 times in the last 2.5 weeks.A polyp was removed full but no cancer.So i am now two months after and still getting a show but only when i urinate and wipe.
  4. Abnormal Uterine bleeding: Hysteroscopy can help diagnose the cause of heavy menstrual flow, long-period cycles or bleeding between the period cycle or after bleeding after menopause. Endometrial ablation is a procedure during which the hysteroscope and other surgical instruments are used to destroy the uterine lining with the purpose of.

The dilation and curettage (D&C) procedure is defined as a surgery performed for a variety of reasons, such as spotting between periods, irregular or heavy periods, bleeding after menopause, fibroids, miscarriage, abortion, or polyps. Learn about dilation and curettage recovery and more In some cases, no anesthesia is needed. If you are given anesthesia or a sedative, you will need someone to drive you home. After the hysteroscopy. It's normal to have some vaginal bleeding and cramping for a few days after the procedure, but you should report any severe pain, heavy bleeding, discharge or fever to us A dilatation and curettage (D&C) is an operation performed on women to scrape away the uterus (womb) lining. The cervix (neck) of the uterus (womb) is dilated using an instrument called a dilator. The endometrium (lining of the uterus) or contents of the uterus are removed and sent to a laboratory for analysis, if required

Hysteroscopy. A hysteroscopy is a procedure that uses a small camera to look inside the uterus, or womb. It is used to diagnose or treat problems with the uterus. Knowing more about what happens during a hysteroscopy means that you can be better prepared After initial testing, a doctor may suspect the problem is with the uterus. Some indications that a hysteroscopy may help include: History of STDs that might cause pelvic inflammatory disease. Unexplained uterine bleeding, especially if the bleeding is heavy. A history of endometriosis. Regular ovulation but no pregnancy after 12 months of trying Post menopausal bleeding. 21 May 2019 21:29 in response to Luc50. Hello Luc50, I'm in a similar boat. I am 52. Hadn't had a period for 18 months, then had bleeding. Went for an ultrasound and also had a hysteroscopy at the same appointment. The ultrasound detected the thickness of my uterine lining was at 8mm

Endometrial Ablation - Hysterectomy Alternative or Trap

First period after D&C. ohbrandy posted: Have any of you ladies had a D&C? When my doctor did the lap and hysteroscopy, she did a D&C also. Today I began my first period since the D&C and so far its been byfar the worst period i have EVER had! Its only 10 am and I've already to take vicodin and motrin for the cramps No incision is needed. The physician can look inside the uterus for fibroids and other problems, such as polyps. A camera also can be used with the scope. Submucous or intracavitary myomas are easily visualized and can be resected or removed using a wire loop or similar device. While submucous myomas can cause significant bleeding and anemia.

First period after hysterscope and polypectomy Mumsne

Hysteroscopy is where your doctor or specialist nurse uses a camera to look at the inside of your womb. They may then use instruments to take a sample of tissue or treat a gynaecological condition. You would usually have a hysteroscopy first to look at your womb, then have a D&C afterwards this if necessary During a hysteroscopy, your doctor inserts a hysteroscope -- a thin tube with light on the end -- into your vagina. They'll be able to see into your cervix and inside your uterus. If they find. The recovery time in the immediate post operative period is quicker. Patients often go home after only 23 hours to recover in the comfort of their own home. The small incisions tend to be less painful and patients often need less postoperative pain medication as a result. Fewer wound infections occur

Share on Pinterest Some bleeding, and cramping similar to period pains, are normal after a hysteroscopy. If a general anesthetic is used before the procedure, the person may need to wait for the. An operative hysteroscopy is a procedure to find and treat problems with your uterus. It may have been done to remove growths from the uterus. Or it may have been done to treat fertility problems or abnormal bleeding. You may have cramps and vaginal bleeding for several days. If the doctor filled your uterus with air during the procedure, you.

A hysteroscopy usually takes between 10 and 30 minutes, depending on what needs to be done. Read more about how a hysteroscopy is performed. Recovering from a hysteroscopy. Some women will experience cramping similar to period pains after a hysteroscopy, but this usually passes within a few days Hysteroscopy can be done in a doctor's office or at the hospital. It will be scheduled when you are not having your period. To make the procedure easier, your doctor may dilate (open) your cervix before your hysteroscopy. You may be given medication that is inserted into the cervix, or special dilators may be used Uterine Polyps (Endometrial Polyps) & Hysteroscopic Polypectomy. Endometrial polyps are one of the most common causes of abnormal vaginal bleeding in both premenopausal and postmenopausal women. The likelihood of developing endometrial polyps appears to increase with age. Risk factors for developing endometrial polyps include Tamoxifen (used to. hysteroscopy still no period. Peanutbunny. I thought I had gotten my period in December (about a month after my D&C) but spotting continued and at times the bleeding was very heavy. So in January they started monitoring my HSG, and then via U/S they saw some tissue. So I had a second D&C, but the tissue was very adherent and the dr could. Hi goodhope, I had a hysteroscopy, laparoscopy, d&c and dye test back in May/June. The doctor also did not find anything wrong with me. After the operation my periods were a bit strange - for 3 months I had spotting before my period which I had never had before and my period was lighter than normal

Hysteroscopy tomorrow, period due, please help! Mumsne

After an ultrasound, I was diagnosed with an endometrial polyp and had a D&C and hysteroscopy in Aug 06 to remove it. The pathology report came back benign. In Oct 08 I started having similar symptoms (cramping, irregular periods, occasional spotting between periods), so my gyn did an ultrasound and another polyp was found Hi, I had appointment with gynae today as having no luck with ttc and my cycles are quite short with few days of spotting. He has recommended having hysteroscopy and d&c. he says d&c will scrape out all old lining and allow new healthy lining to build up and think he also mentioned something about putting dye through the tubes. maybe I'm getting mixed up, maybe the dye through tubes was if I. I had a hysteroscopy, d and c and polypectomy on Thursday 5/10. I also had a mirena coil fitted. I had no bleeding and minimal pain for 3 days after surgery but then on the 4th day post surgery I star read mor First period after laparoscopy and hysteroscopy. I finally had my laparoscopy and hysteroscopy. Although the surgeon said she found much more endo than she was expecting, she said they were able to get a lot and the surgery went well. She also said she was able to shave away most of the fibroid that was taking up my uterus and I should see a.

I am 34 and have been trying to conceive for three years now. I had hysteroscopy and D & C two weeks ago for possible endometrial hyperplasia. Although there was no hyperplasia, I still had to have the D & C to remove several small polyps. I also had laparoscopy to diagnose/treat stage 3 endometriosis TODO: Email modal placeholder. So yesterday was my big day for the leep and hysteroscopy d&c. I arrived at the surgical outpatient office at 5:30a.m.n At 5:45, I was taken back. I had an iv catheter put in and was put under general anesthesia. I remember going into the room, briefly looking around, and a mask was applied to my face deleted_user 02/24/2011. I have a laparoscopy and hysteroscopy scheduled for tomorrow morning. However, I'm on my period. I know that it isn't a big deal for the laparoscopy, but everything I read says the hysteroscopy needs to be done without blood in the uterus. Have you had a hysteroscopy during your period Will periods go away forever after the surgery? Most women (9 out of 10) will either have no periods or lighter periods after endometrial ablation. It is possible that your period will come back heavier after a few years. Is it normal to experience discharge after ablation? It's normal to experience a thin, watery discharge after ablation

first period after hysteroscopy Answers from Doctors

I can relate... last year I went 9 months after surgery with no period (I'm 52 and gyn said I was in menopause). Then in Feb this year I had 2 periods, 21 days apart. My gyn did an ultrasound, found the endometrial stripe was 7.5mm, and had a complex solid 4.3 cm mass on right ovary. I then had a hysteroscopy, D&C, and right oophorectomy Hysteroscopy, Dilatation and Curettage (D&C), Removal of cervical / endometrial polyps and fibroids The purpose of this leaflet is to help women who are scheduled to have a Hysteroscopy and D&C understand the nature of the planned surgery. It also explains about the removal of both cervical and endometrial polyps

Beware of the 1st Period After D - Women's Health

I had a hysteroscopy, D&C and balloon ablation on 11/03/03 and the bleeding/cramps stopped after a few days, so I figured everything was fine. Two days ago I was sitting in a long meeting and finally had a chance to stand up after about 2 1/2 hours - when I did, I felt like I had wet my pants - and I mean really bad A D&C, or dilation and curettage, is a procedure to remove tissue from your uterus. You may need a D&C procedure if you had a miscarriage or abortion. Your healthcare provider can use a D&C and hysteroscopy to diagnose unexplained bleeding. A D&C is an outpatient procedure. You may have some mild cramping and bleeding for a few days after a D&C

When Will I Get My Period After Having a D&C

I am 39 and had a hysteroscopy, d&c and thermal ablation all at the same time. I started bleeding march 22nd. I started birth control for the first time march 8th because out of nowhere my period started 2 weks early So I had my D&C last Wed. and had light bleeding on Thurs which turned to spotting on Friday and Saturday (just needed a pantyliner) and basically stopped on Sunday. Mon, Tues, and Wed day I had no bleeding at all, but then Wed night before bed I went to the bathroom and had really dark red bleeding - very thick blood, almost clotty Periods after NovaSure endometrial ablation. I had the NovaSure procedure in March 2012. I had been having extremely heavy bleeding with large clots as big as silver dollars at times. I went to a GYN that I had researched extensively first and she recommended the NovaSure ablation, D&C, and hysteroscopy. I had a couple of small fibroids and a. Hi. Dilation and curettage refers to the dilation of cervix and surgical removal of part of the lining of the uterus and/or contents of the uterus by scrapping or scooping. This is a therapeutic gynaecological method of clearing the wall of the ut.. In this procedure, the hysteroscope utilises energy or hot water to resect or destroy the endometrium. After the procedure, about 40% of women will have lighter menses, another 40% of them will have complete cessation of their menses, and 20% of them would have no change in their symptoms. Hysteroscopy with D&C

D&C and Hysteroscopy — Women's Health Networ

D&C is used to diagnose and treat many conditions that affect the uterus, such as abnormal bleeding. A D&C also may be done after a miscarriage.A sample of tissue from inside the uterus can be viewed under a microscope to tell whether any cells are abnormal. A D&C may be done with other procedures, such as hysteroscopy, in which a thin, lighted telescope is used to view the inside of the uterus Hysteroscopy is a way to look inside the uterus. A hysteroscope is a thin, telescope-like device that is inserted into the uterus through the vagina and cervix. It may help us to diagnose or treat a uterine problem. It is often combined with a curettage, which samples the lining of the uterus Hysteroscopy Hysteroscopy involves gently inserting a small camera through the cervix into the cavity of the uterus to examine it for any abnormalities. This operation is performed as a short day procedure under a light general anaesthetic. A curette, or D and C will also usually be performed after a hysteroscopy, to take a sample of the lining of the endometrium to send to pathology to.

Hysteroscopy is the process of viewing a woman's uterine cavity with the help of a hysteroscope. This process allows a doctor to diagnose and surgically repair/operate at the same time if necessary. It is a procedure that can be carried out both in a hospital or in an office and is considered more effective if done after a woman has had her. WHAT YOU NEED TO KNOW: A hysteroscopy is a procedure to find and treat problems in your uterus. A hysteroscopy may be done to find, and possibly treat, the cause of abnormal vaginal bleeding, problems getting pregnant, or miscarriage. It may also be done to insert or remove a device that prevents pregnancy The aim of endometrial ablation is to reduce or cease menstrual flow, and thus it may entirely stop periods in some women or it may just cut down the amount of menstrual bleeding.. Endometrial ablation is a treatment that involves the removal of the uterine lining and is recommended for women who have abnormal uterine bleeding, for instance, a very heavy menstrual flow, prolonged periods that. Diagnostic hysteroscopy is used to diagnose some uterine abnormalities, and may also be used to confirm the results of other tests such as hysterosalpingography (HSG). Other instruments or techniques, such as dilation and curettage (D&C) and laparoscopy, are sometimes used in conjunction with the hysteroscopy.