Endometriosis UK
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Cervix too narrow for hysteroscopy

Hi all

I had my diagnostic lap 6 weeks ago today and am due to have my follow up appointment with my consultant/surgeon tomorrow. With regards to the endo, he apparently couldn't see any during the lap, however due to my symptoms (rectal bleeding during my period) he's also referred me to a gastroenterologist for a sigmoidoscopy to look for endo in my bowel.

During my op he was going to also do a hysteroscopy to look for polyps and to also look at the lining of my uterus as it has showed up as quite thick on a scan. However he said that my cervix is quite narrow and he was unable to carry out the hysteroscopy as it could've caused a little damage by forcing things.

I'm going to ask all these questions in my appointment tomorrow however would really appreciate any thoughts or similar experiences anyone has had. How do I know what's going on in my uterus if he can't carry out a hysteroscopy? Any ideas?

Thank you everyone xx

4 Replies

You could ask about the chances of having a cervical dilation to allow for hysteroscopy? It's a shame he didn't do that whilst you were under xx


That's really helpful, thanks ever so much. I'll ask about that tomorrow xx


Endo very rarely infiltrates through the bowel and sigmoidoscopies are usually clear. But endo affecting the outside can cause cyclical bleeding with bowel movements. The most common location for endo is behind the uterus in what is called the pouch of Douglas and this can progress to a point where the cervix becomes glued to the bowel. This make a hysteroscopy difficult. Unfortunately although the most common location it is also the most commonly missed.

You need to ask whether a rectovaginal exam was carried out at the lap (fingers up the vagina and rectum) to feel for deep nodules of endo in the rectovaginal septum/uterosacral ligaments, for confirmation that the uterus was lifted and the pouch of Douglas thoroughly searched and found to be free of both endo and adhesions (scar tissue). That is very important as many gynaecologists view adhesions in the POD as not representative of endo when they can hide deep endo beneath. And that the bowel was thoroughly inspected and found free from endo.

1 like

Thank you ever so much for replying. It's interesting to hear about the POD, I've had my appointment now, however have got another one in a few weeks for the follow up results of more scans. I'll definitely be asking this then. Thank you for taking the time to reply, I really appreciate that. I hope you're enjoying good health xx


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