Hysteroscopy
Hysteroscopy is a modern operative technique that allows to conduct a high-quality examination of the uterus and accurately take a biopsy, remove a polyp or excise adhesions in the uterus under the visual supervision of a surgeon. High-quality equipment allows manipulations of the greatest complexity, reducing the number of complications and relapses to a minimum. This is a huge step towards the restoration of the reproductive health of women. This technique has indisputable advantages, displacing old traumatic manipulations like curettage of the uterus and opening up tremendous possibilities.
What are the indications for hysteroscopy?
The main indications for hysteroscopy are:
- Polyps of the uterus;
- Violations of the menstrual cycle;
- Bleeding in menopause;
- Submucous uterine myoma;
- Endometriosis;
- Intrauterine contractions and partitions;
- Small fibroids with hemorrhagic syndrome;
- Infertility.
Contraindications for hysteroscopy:
- Pregnancy;
- Infectious diseases of the pelvic organs;
- The presence of common infectious diseases.
Hysteroscopy is performed in a hospital. As a rule, hospitalization is short. Before carrying out this manipulation outpatient examination is necessary:
- Blood type and Rh-factor;
- Clinical blood test;
- General urine analysis;
- Blood glucose;
- Blood test for syphilis;
- Blood test for HIV;
- Hepatitis B, C - antibodies;
- analysis of secretions;
- Cytology;
- Colposcopy.
The optimal time for carrying out this surgical intervention is decided by the doctor, however, most often this manipulation is carried out until the 14th day of the menstrual cycle. When performing manipulations in menopause, the operation can be performed on any day.
Methods of hysteroscopy of the uterus:
This manipulation is most often performed under intravenous anesthesia. Surgical intervention is performed when the anesthesiologist is convinced that the woman has fallen asleep. The cervical canal dilates gently and a hysteroscope is inserted into the uterine cavity. With the help of a hysteroscope, a liquid is introduced into the uterine cavity, which allows for a qualitative inspection of not only the cavity itself, but also the mouth of the fallopian tubes, as well as the cervical canal. If there is a pathology, a biopsy or removal of the formation (resection) is performed; if necessary, ablation of the endometrium (removal of the inner lining of the uterus) can be performed. After the manipulation, the material is sent for histological examination. The duration of this operation can vary from 20 to 40 minutes.
How long is it necessary to stay in the clinic after the manipulation?
The IPF clinic has the most modern equipment and highly qualified specialists. This surgical intervention is not long and allows you to reduce possible complications to a minimum. The length of stay in the clinic after this surgery is several hours, you will be in a comfortable ward under the constant supervision of a nurse and the supervision of a doctor.
What can you feel after hysteroscopy?
- Minor pulling pain in the lower abdomen (reminiscent of pain during menstruation).
- A few days you may have scant spotting that does not require specific therapy.
- In rare cases, the doctor may decide on anti-inflammatory therapy.
- Do not forget that before the onset of menstruation, it is desirable to use barrier methods of contraception.
Complications during hysteroscopy are extremely rare, but if you experience the following symptoms, we strongly recommend that you consult a doctor:
- Severe abdominal pain;
- Abundant bleeding;
- Temperature rise.
Hysteroscopy - this is a new milestone in gynecology, greatly expanding the possibilities of diagnosis and treatment.
Hysteroscopy
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