What is hysteroscopy?

Hysteroscopy is performed to assess a woman with infertility, recurrent miscarriage or abnormal uterine bleeding. For this procedure a thin telescope-like instrument (hysteroscope) is inserted through the vagina and cervix into the uterus to assess the cavity.

What is diagnostic hysteroscopy used for?

Hysteroscopy is used to detect Any uterine problems like fibroid tumors, endometrial polyps, intrauterine scar tissue, bicornuate uterus or even deformities like septate uterus, can be seen and detected by this procedure.

Skin incisions are not required for hysteroscopy. After the hysteroscope is inserted through the cervix and into the uterus, normal saline solution is then injected into the uterus. This fluid expands the uterine cavity and enables the physician to directly view the inside structure of the uterus.

Diagnostic hysteroscopy is an outpatient procedure and often performed soon after menstruation has ended because the uterine cavity can be evaluated more easily.

Risks of Hysteroscopy

Complication of hysteroscopy occur in aminimal percentage. Perforation (hole) of the uterus is the most common complication. In experienced hands, however, this occurs very seldom.

Sometimes, there may be complications after hysteroscopy. Perforations made, generally close naturally, but there may be damage to nearby organs that may require surgery. Additionally, during operative hysteroscopy the fluid used to distend the uterus may lead to electrolyte imbalance, blood clotting and fluid build-up in the lungs. Apart from these there may be a severe allergic response in some patients, but serious complications are uncommon.

Severe or life-threatening complications, however, are very uncommon. The fluid overload, occurs only in operative hysteroscopy and not in diagnostic hysteroscopy.

Role of hysteroscopy in infertility

The role of hysteroscopy in infertility investigations is to identify possible intrauterine changes that could interfere with implantation and/or embryo growth. Also it will evaluate the benefit of different treatment modalities in restoring a normal endometrial environment. Moreover, hysteroscopy can diagnose certain abnormalities much more precisely compared to hysterosalpingogram (HSG) and transvaginal ultrasonography.

The shape and the regularity of the uterine cavity using a vaginal ultrasound, is the first and basic step in a fertility assessment. Extra growth or lesions like - uterine fibroids, endometrial polyps, intrauterine adhesions, are some known causes of infertility as they interfere with proper embryo implantation and growth. An ultrasound will detect some abnormalities but others, like adhesions inside the uterine cavity or scarring, will not be seen.It is known that congenital uterine malformations play a role in delaying natural conception.

Due to its advantages, hysteroscopy has been identified as a definite method to examine, evaluate, assess the uterine cavity and diagnose any associated abnormalities. It allows complete, accurate identification of intrauterine abnormalities that might negatively affect endometrial receptivity and implantation. Moreover, a diagnostic hysteroscopy prior an IVF treatment, might improve the implantation and the success rate.

Thus ivi-middle-east Fertility Clinic offers the latest technical advances designed to assist you with pelvic pain, infertility, abnormal menstruation flow and array of problems responsible for your problem. Book an appointment with us.

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