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Anesthesia & Pain Management

Quite often, you can receive a hysteroscopy without any type of anesthesia. Additionally, you only need over-the-counter pain medication for the subsequent mild cramping. The decision to get this procedure rests with you and your experienced doctor at Hysteroscopy Center of New York. Your NYC gynecologist can tell you if you need hysteroscopy anesthesia or not; it depends on your pain tolerance and the type of symptoms you have. Either way, you can expect hysteroscopy pain management as part of your treatment. Call today to arrange a consultation with an expert to get the best recommendation for your specific issue.

What Can I Expect from Hysteroscopy Anesthesia and Hysteroscopy Pain Management?

Decisions regarding your hysteroscopy anesthesia and hysteroscopy pain management depend on your pain level tolerance and the complexity of hysteroscopy procedure you’re undergoing. In most diagnostic hysteroscopies, you remain fully awake, compared to more complex or operative procedures. A hysteroscopy is a minimally invasive procedure that provides your doctor with a detailed visualization inside your uterus.

If you struggle with fertility issues or abnormal periods, a hysteroscopy helps your NYC gynecologist diagnose the underlying cause. Dr. Felix Cohen and his team of specialists at Hysteroscopy Center of New York offer advanced, minimally invasive diagnostic and treatment hysteroscopy procedures to treat uterine abnormalities. Visit their offices in Midtown Manhattan, Queens or Columbus Circle.

What Types of Hysteroscopy Anesthesia Are Available?

The type of hysteroscopy anesthesia you get depends on whether it’s for diagnosing or treating endometrial polyps or fibroids, or for a more in-depth procedure like an ablation. The commonly used hysteroscopy anesthesia includes:

  • Local anesthesia with or without sedation, which is used for the diagnosis and treatment of minor operative procedures
  • Regional anesthesia, which is recommended for complex operative hysteroscopies or if you can’t tolerate general anesthesia
  • General anesthesia and IV sedation, which is generally used for lengthy or complex operative hysteroscopies

At Hysteroscopy Center of New York, your experienced NYC gynecologist asks about your pain tolerance, explains the pre- and post-procedure instructions and reviews the costs, including the additional anesthesia fees.

“Although the type of hysteroscopy anesthesia varies from patient to patient,” says Dr. Cohen, “we prefer administering at least local anesthesia, which reduces your discomfort. We use IV sedation or general anesthesia in cases where your pain tolerance levels are low or for complex, operative procedures.”

How Long Does a Hysteroscopy Anesthesia Last?

Local and regional anesthesia wear off one to two hours after your treatment, depending on the dosage, your response and your metabolism. In contrast, general anesthesia’s effects may take longer to fully resolve, with the recovery usually extending to 24 hours. If you get general anesthesia, you need someone to get you home the day of your procedure.

IV sedation may leave you feeling drowsy and sleepy for 15 to 30 minutes, with no-to-little recollection of the procedure. But it usually wears off within two hours after surgery. More than 35 percent of women who had hysteroscopy anesthesia-free report severe pain, especially when the speculum was placed with cervical dilation, which is why Dr. Cohen explains in detail the duration and expectation of the anesthesia, as well as what to expect during recovery.

What’s the Post-Procedure Care and Pain Management After a Hysteroscopy?

Post-procedure care and hysteroscopy pain management focus on minimizing your discomfort and preventing uterus infections. Hysteroscopy pain management techniques following the procedure usually include:

  • Over-the-counter medication to manage mild-to-moderate cramping
  • Prescription pain medicine after a complex procedure
  • Heating pads applied to your lower abdomen to soothe and relax your pelvic muscles

During your initial consultation, Dr. Cohen explains the procedure in detail and the pain you may experience during the procedure. Additionally, at Hysteroscopy Center of New York, your experienced NYC hysteroscopist details the pain scores of the hysteroscopy.

Dr. Cohen adds, “Even with clinical studies pointing to the fact that one-third of women undergoing a hysteroscopy experience pain levels of at least seven of 10, the pain didn’t interfere with their decision to undergo the procedure. It’s a medical procedure, that when recommended, is the most effective treatment for many uterine conditions.”

Can a Hysteroscopy Be Performed Without Anesthesia?

For diagnostic hysteroscopy done in one of our offices, you’re usually fully awake with minimal or no sedation. If the procedure is complex and surgical, you can expect to be sleepy or completely unconscious to avoid feeling pain. The option often depends on your pain tolerance levels.

Dr. Cohen advises against driving yourself home after a hysteroscopy, even if you didn’t have general anesthesia. Although the procedure is minimally invasive, the process can make you feel light-headed for a short period of time. If you had anesthesia, you’ll feel drowsy or disoriented until it wears off. For your safety, it’s best to take someone with you to get you home.

How Do Doctors at Hysteroscopy Center of New York Handle Hysteroscopy Pain Management?

Dr. Cohen carefully chooses the type of hysteroscopy anesthesia for you, depending on the type of procedure and potential for immediate treatment. If possible, your NYC gynecologist administers the see-and-treat approach, which allows him to diagnose and remove polyps or fibroids in a single procedure. This applies to women from Canada traveling internationally, as well.

What makes Hysteroscopy Center of New York a top choice among women looking for a hysteroscopy is that this practice uses advanced technology and equipment to reduce the procedure time and minimize your discomfort. If you’re wondering about the administration of anesthesia, schedule a consultation at Hysteroscopy Center of New York at one of their three locations today.

Begin Your Consultation

Schedule a private consultation with Dr. Felix Cohen, M.D., FACOG