signs of infection after hysteroscopy

OP Authors 2025

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16-03-2025

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Signs of Infection After Hysteroscopy: When to Seek Medical Attention

Hysteroscopy, a minimally invasive procedure used to examine the inside of the uterus, is generally safe. However, as with any surgical procedure, there's a small risk of infection. Recognizing the signs of infection after a hysteroscopy is crucial for prompt treatment and preventing serious complications. This article outlines potential signs and symptoms, emphasizing when you should seek immediate medical attention.

Understanding the Risk:

Infections after hysteroscopy are relatively uncommon, but they can occur. The risk factors can include:

• Pre-existing conditions: Women with weakened immune systems or underlying infections are at a slightly higher risk.
• Procedure complexity: More extensive procedures, such as those involving biopsies or polypectomies, may slightly increase the risk.
• Lack of proper hygiene: Maintaining strict sterile techniques during the procedure minimizes the risk.

Signs and Symptoms of Infection:

While not everyone will experience symptoms, be vigilant for any of the following, which can appear within a few days or even weeks after the procedure:

• Fever or chills: A sudden spike in temperature, accompanied by shivering, is a strong indicator of infection.
• Vaginal discharge: An unusual discharge – particularly if it's foul-smelling, heavy, or discolored (yellowish-green or brownish) – warrants immediate attention.
• Lower abdominal pain or cramping: Pain that intensifies, is localized in the lower abdomen, and doesn't subside with over-the-counter pain relievers should be evaluated.
• Bleeding: While some light spotting is normal after a hysteroscopy, heavy bleeding or bleeding that persists for an extended period is a cause for concern.
• Increased pelvic pain: This could indicate an infection spreading beyond the uterus.
• Fatigue and malaise: Feeling unusually tired and unwell, often accompanied by other symptoms, is a potential sign of infection.

When to Seek Medical Attention:

Don't hesitate to contact your doctor or healthcare provider immediately if you experience:

• High fever (above 100.4°F or 38°C): This is a critical warning sign.
• Severe abdominal pain: Pain that is debilitating or accompanied by nausea and vomiting requires urgent attention.
• Foul-smelling vaginal discharge: This indicates a potential serious infection.
• Heavy or prolonged bleeding: Excessive bleeding can lead to anemia and other complications.

What to Expect During a Follow-Up:

Your doctor will likely schedule a follow-up appointment to monitor your recovery. During this visit, they may:

• Perform a physical examination: To assess your overall health and check for any signs of infection.
• Order blood tests: To determine if there's an infection and its severity.
• Prescribe antibiotics: If an infection is confirmed, antibiotics will be necessary to combat it.

Prevention:

While you can't entirely eliminate the risk of infection, you can take steps to minimize it:

• Follow your doctor's post-procedure instructions carefully. This includes hygiene practices and any prescribed medications.
• Avoid sexual intercourse for the recommended period. Your doctor will provide specific guidance.
• Maintain good hygiene. Practice regular handwashing and keep the area clean.

Disclaimer: This information is for educational purposes only and should not be considered medical advice. Always consult with your healthcare provider for any concerns about your health or post-procedure recovery. They can accurately diagnose and treat any potential complications. Prompt attention to any concerning symptoms is vital for a successful recovery from hysteroscopy.