What is Hysteroscopy?

hysteroscopy; It is known as a procedure used in complaints such as infertility, investigating the cause of recurrent miscarriages or irregular menstrual bleeding. So what is hysteroscopy, why is it done and when is it required, let’s take a closer look at the answers to these questions.

First of all, the process of examining the inside of the uterus and the part of the tubes opening to the uterus by means of an optical camera is called hysteroscopy. As it is a diagnostic method, it is also used for surgical treatment.

How is Hysteroscopy Performed?

Hysteroscopy should be performed within the first 3-4 days after the end of the menstrual period, when the uterine wall is thin, in order not to harm a possible pregnancy unintentionally and to obtain a better image with the optical camera in the inner cavity of the uterus. There is a possibility of pregnancy since there is an ovulation period on the 10-15th days after the menstrual bleeding ends. For this reason, hysteroscopy cannot be performed except for the days immediately after the end of menstruation.

Hysteroscopy is a vaginal procedure. It is performed by entering through the cervix with a special lens. The received image is watched by being projected onto the monitor during the process. The tube, which consists of this camera or lens system that allows to take images from the uterus, is called a hysteroscope.

A hysteroscope is inserted through the cervix into the uterus. In the meantime, fluid that expands the uterine cavity is given to see the inside of the uterus.

Hysteroscopy can be applied with two methods, either diagnostic or surgical. During diagnostic hysteroscopy, surgery can be performed when deemed necessary by means of appropriate instruments at the tip of the hysteroscope. When hysteroscopy is used for diagnostic purposes, it is performed under local anesthesia, and when applied for surgical procedures, it is performed under general or spinal anesthesia in the operating room environment.

The patient who underwent hysteroscopy can be discharged on the same day and return home.

In Which Situations Is Hysteroscopy Applied?

hysteroscopy; It enables images to be obtained and some surgical procedures can be performed by sending a very fine-tipped lens into the uterus through the vaginal route.

Hysteroscopy, which is performed under general or local anesthesia depending on the patient’s condition and the procedure to be performed, is usually performed in the first days after the end of the menstrual bleeding. Thus, the inside of the uterus can be viewed much better and any pregnancy is excluded.

The hysteroscopy procedure, which is applied for both diagnosis and treatment, is generally;

  • In recurrent miscarriages
  • In infertility problem
  • In menstrual irregularity, irregular bleeding complaints
  • Diagnosis and treatment of intrauterine adhesions
  • In the removal of polyps or fibroids in the uterus
  • It is applied in the removal of the curtain / partition in the uterine cavity.

Diagnostic Hysteroscopy

It is applied to investigate the causes of recurrent miscarriage problems along with infertility problems or menstrual irregularity problems.

Therapeutic Hysteroscopy

It is a surgical hysteroscopy procedure applied to remove adhesions, fibroids or polyps detected in the uterus, and the partition existing in the inner cavity of the uterus. After this procedure, which is performed in the operating room and under general anesthesia, sometimes the patient may need to stay in the hospital for a maximum of one night.

Who Is Hysteroscopy Applied To?

The main reasons for hysteroscopy are as follows;

  • In infertility research
  • In the study of recurrent miscarriages
  • Abnormal menstrual bleeding
  • Premenopausal and postmenopausal uterine bleeding
  • Diagnosis of polyps, fibroids that may be in the uterus
  • Diagnosis of possible adhesions in the uterus
  • Diagnosis of congenital anomalies in the uterus (intrauterine compartment-septum)

In addition, it is possible to treat the following diseases with hysteroscopy;

  • Polyps and fibroids
  • congenital uterine problems
  • Intrauterine adhesions
  • Removal of the spiral escaping into the uterus
  • Burning the inner walls of the uterus with ablation technique
  • Removal of fragments after miscarriage or abortion
  • Treatment of lesions in the cervical canal

Situations where hysteroscopy cannot be applied:

  • Cervical cancer
  • severe uterine bleeding
  • severe infections
  • Active herpes infection
  • Pregnancy

Is Hysteroscopy Procedure Risky?

There are some risk factors in hysteroscopy as in other applications. At the right time, with qualified technical equipment and by an experienced physician, the risk factors in this procedure are minimized. If there is a foul-smelling vaginal discharge, fever, heavy bleeding and severe abdominal pain after the hysteroscopy procedure, it is absolutely necessary to inform the doctor.

Infection can be seen in the uterus as a result of not paying attention to the provision of sterile conditions during and after the application. Choosing a doctor is very important in hysteroscopy, which may also encounter problems such as cervix injury or uterine perforation.

Pregnancy After Hysteroscopy

Hysteroscopy is an important diagnosis and treatment method in the evaluation of infertility. One of the many causes of infertility is lesions in the uterus, polyps, fibroids, septum in the uterus and intrauterine adhesions. However, this condition can be diagnosed and treated with hysteroscopy.

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