• Uterine perforation during dilatation of the cervix or less commonly during operative procedures inside the uterus. Nulliparous and postmenopausal women are more at risk than others.
• Bleeding is also a possible risk but usually it is minimal and stops after few hours. More serious bleeding might follow lateral wall perforation due to the involvement of the ascending uterine arteries on either side.
• The risk of postoperative infection is less than 5% and usually intraoperative administration of antibiotics caters for this problem. The procedure should not be done in the presence of or suspected pelvic infection.
• More seriously very long procedures could be complicated with fluid overload which could interfere with the patients blood chemistry and acid base balance. This is more likely during excision of large fibroids. Accordingly strict record of fluid balance should be kept. Also it is better to complete such procedures in 2 different sessions than in a single very long one. This entails proper preoperative planning and efficient use of ultrasound to give the maximum possible information about the uterine pathology.

Please click on each of the following topics for more information.

• Hysteroscopy technique 
• Removing endometrial polyps
• Endometrial ablation
• Excision of submucous fibroids
• Surgical treatment of menorrhagia and abnormal uterine bleeding..
• Incision of intrauterine septa