Can a transvaginal ultrasound be performed ten days after hysteroscopic surgery?
Hysteroscopy is a minimally invasive gynecological diagnostic and therapeutic technique used to examine or treat lesions within the uterine cavity. Transvaginal ultrasound (TVUS) refers to an ultrasound examination performed via the vagina. Generally, if the hysteroscopy causes only minor endometrial injury and recovery is quick, it is acceptable to proceed with transvaginal ultrasound ten days after the procedure. However, if the endometrial injury is more significant and healing has not been completed within ten days, it is advisable to delay the transvaginal ultrasound to avoid adverse effects. Detailed explanations are as follows:
1. Minor injury: Hysteroscopic surgery is an invasive procedure, but if the damage to the endometrium during the operation is minimal and the patient experiences no discomfort afterward—such as abdominal pain, vaginal bleeding, or pelvic pressure—recovery usually occurs quickly. Ten days is generally sufficient for healing in such cases. Therefore, transvaginal ultrasound can typically be performed after ten days without significant concerns.
2. Significant injury: If the procedure causes extensive or severe damage to the endometrium, resulting in symptoms such as abdominal pain or abnormal vaginal bleeding, a longer recovery period is required—typically 2–3 weeks, or up to 3–5 weeks—before transvaginal ultrasound should be considered. In such cases, performing a transvaginal ultrasound just ten days post-procedure is not recommended, as it may exacerbate injury to the vagina and endometrium, potentially leading to complications such as vaginal mucosal damage, thin endometrium, or intrauterine adhesions.
If gynecological examinations are needed, it is recommended to first consult a physician and follow medical advice. Regular monitoring is also important; if any discomfort occurs after the procedure, prompt medical attention should be sought. Proper local care should be maintained, including good personal hygiene and avoiding sexual intercourse too soon after the procedure.
