Local anesthesia can be used. Analgesics are not always necessary. A paracervical block may be achieved using a Lidocaine injection in the upper part of the cervix. Hysteroscopic intervention can also be done under general anesthesia (endotracheal or laryngeal mask) or Monitored Anesthesia Care (MAC). Prophylactic antibiotics are not necessary. The patient is in a lithotomy position during the procedure.
If abnormalities are found, an operative hysteroscope with a channel to allow specialized instruments to enter the cavity is used to perform the surgery. Typical procedures include endometrial ablation, submucosal fibroid resection, and endometrial polypectomy.
After procedure we should monitor for vitals and vaginal bleeding.
