Dr. Ulhas Pote

Hysteroscopy TCRE

Description
Faq's

Transcervical Resection of Endometrium (TCRE):

HYSTEROSCOPIC RESECTION OF ENDOMETRIUM

What is a hysteroscopic resection of endometrium?

Hysteroscopic resection is also known as Transcervical Resection of Endometrium (TCRE). It is a procedure in which the lining of the womb (endometrium) is removed using a special instrument called a hysteroscope.

When is a TCRE performed?

A hysteroscopic resection is performed to treat very heavy periods(menorrhagia) in women who do not wish to have more children.

What does the operation involve?

TCRF is usually performed under a general anaesthetic as a day-case procedure. No external cut is required, all the surgery is performed via the birth canal. The cervix (neck of the uterus) is gently stretched and a hysteroscope (small telescope) is then inserted through the cervix into the uterus. The hysteroscope gives a view of the uterine cavity and has a surgical loop at its end that is used to remove (or "resect") the endometrium.

What is the recovery like after surgery?

The patient goes home on the same day as the operation. There may be some period-like cramp and bleeding for few hours after procedure, but otherwise the procedure is completely pain free. There will be some light bleeding, or blood stained discharge that usually settles within 7 days although some discharge may persist for up to 4 weeks. During this time the cavity of the uterus is healing. Most women return to driving and work within 48-72 hours.

What does perinatal mean?

Perinatal means the period “all around” birth. We use it to mean the period of time all throughout pregnancy as well as the baby’s first year.

How is this different than the “baby blues?”

Most new mothers – experts estimate about 80% — experience mood swings and weepiness during the first 2-3 weeks after giving birth. Sometimes called “the baby blues”, this is a normal adjustment period and resolves without any medical assistance.

I feel scared and anxious. Is this related to PPD?

Yes it is related. PPD is a term that most people use to describe postpartum emotional distress, but many pregnant and postpartum moms have mostly anxiety-related symptoms – feeling irritable, agitated, or overwhelmed — without primary depression. Perinatal anxiety might include insomnia, low appetite, fears and worries, restlessness, and physical symptoms such as dizziness, rapid heartbeat, or aches and pains. Anxiety is a real condition, and it is completely treatable. You can learn more about perinatal anxiety here.

What if I’m not feeling depressed? Are there other perinatal mental health reactions or disorders?

Yes, during pregnancy or postpartum, approximately 1 out of every 7 women experiences significant depression, anxiety, intrusive repetitive thoughts, panic, or post traumatic stress. Some women experience symptoms of a bipolar depression, which is a cyclical, deep depression with periods of very high energy, decreased need for sleep, and changing moods (mania). These reactions can also occur with miscarriage, abortion, stillbirth or infant loss. The least common reaction is postpartum psychosis, which occurs after 1 or 2 per thousand births. In the news and on TV, postpartum psychosis is often called depression, but it is a separate and unique illness. You can learn more in our section on difficult symptoms during pregnancy and postpartum.

What should a mom do if she thinks she has perinatal depression or anxiety?

She should reach out as soon as she can, and talk to supportive and informed people. She should start by talking to her care provider. Admitting there may be a problem is the most important step a mother can take for herself and her family. Some mothers find it helpful to write down symptoms and feelings prior to an appointment with their care provider. It may also be helpful to take a supportive person with her to the appointment.