Hysteroscopy is a gynecological procedure using optical instruments to examine the uterine cavity. For this procedure, certain indications are required, and before the hysteroscopy itself, special training. Thanks to this procedure, it is possible to establish the cause of infertility, get rid of some diseases and evaluate the results of operations.
When is hysteroscopy used?
Hysteroscopy can be prescribed for various female problems. In particular, common reasons for hysteroscopy are:
- Infertility diagnostics.
- Miscarriage of the fetus.
- Diagnosis of menstrual irregularities.
- Presence of bleeding during postmenopause.
- Evaluation of the results of gynecological surgery.
Types of hysteroscopy
Depending on the specifics of the problem, the doctor may prescribe one of several types of hysteroscopy. There are 3 types in total:
- Diagnostic hysteroscopy differs in that its main purpose is to examine the uterus in a gentle way.
- Hysteroresectoscopy is a surgical procedure involving an intrauterine operation using an endoscope.
- Control hysteroscopy is a final examination after surgical or other treatment.
Indications and contraindications for hysteroscopy
Diagnostic hysteroscopy is designed to make diagnoses such as:
- The presence of fibroids.
- Finding foreign objects inside the uterus.
- Endometrial pathologies and polyps.
- Detection of an intrauterine contraceptive.
- Adhesions in the uterine cavity.
- The remains of the ovum.
Contraindications to hysteroscopy are fairly standard:
- Malignant neoplasms or processes in the diagnosed area.
- Diseases of the genital organs in the active phase or recent diseases.
- Uterine bleeding or uterine perforation.
Preparation for hysteroscopy
Hysteroscopy is usually prescribed in the first phase of the cycle. In order to determine on which day the procedure should be carried out, it is necessary to consult with a gynecologist-surgeon.
During the consultation, the doctor examines the patient using mirrors and takes a swab for infections.
In the last week before hysteroscopy, the patient is prohibited from:
- The use of vaginal suppositories and tablets, as well as other drugs, if they were not prescribed by a specialist for consultation.
- Use of intimate hygiene products.
Also, the patient should abstain for 1-2 days.
The doctor needs a hysteroscope for the procedure. It resembles a flexible cord at the end of which there is a video camera, a small flashlight and a special tube for inserting instruments.
The doctor enters the uterus with a hysteroscope through the vagina. At the time of the passage of the hysteroscope, air or liquid is supplied through the cervix, which is necessary to straighten the wall of the uterus.
The procedure is carried out under the influence of anesthesia and lasts about 30 minutes.
Recommendations after hysteroscopy
Although the procedure is not an indication for a hospital stay, there are still some limitations. For 2-3 days after, you can not take a bath, use tampons and do spraying. Also, doctors forbid sexual intercourse for 3 days.
For several days after the procedure, the patient may experience discomfort in the perineum and lower abdomen. Small bloody or mucous discharge is also possible.
Complications after hysteroscopy are extremely rare.