Diagnostic (office) hysteroscopy - what is it
Hysteroscopy (from "hystero" - uterus and "scopio" - examination) - a visual examination of the uterus using a special device equipped with an optical fiber. This method is used both for diagnostic purposes - it is a diagnostic (office) hysteroscopy, and for medical purposes. In the first case, the doctor only examines the condition of the mucous membrane, in the second case, he removes polyps and other pathological neoplasms.
Indications for the study:
- suspect of endometriosis;
- suspicion of the presence of neoplasms, including malignant ones;
- irregular and abundant periods;
- infertility and miscarriages;
- repeated vaginal bleeding;
- hormonal treatment control;
- suspicion of the presence of a foreign body.
You can find out the cost of hysteroscopy in the hospital in advance.
Preparation for research
Preparation for this study may vary slightly in different medical institutions. Depending on the diagnosis and the amount of surgical intervention, adjustments may also be made to the preparation. For planned surgery, the doctor must be provided with the results of the following examinations: general blood and urine analysis, blood for the Rhesus factor and blood group, blood for coagulation, ultrasound, ECG, fluorography, smear for microflora. In some cases, hormonal drugs, antibiotics, and sedative therapy may be prescribed before surgery. Emergency hysteroscopy is performed without preliminary examinations.
Despite the fact that hysteroscopy of the endometrium belongs to minimally invasive methods, there are a number of contraindications that should be taken into account. Therefore, inflammatory processes of the genitourinary sphere, acute infections, uterine bleeding, blood coagulation disorders, pregnancy are all absolute contraindications for the examination. Before the hysteroscopy, the doctor will talk about the main stages of the procedure, possible consequences (they are minimal compared to classic surgery) and answer questions.
The night before, the patient is prescribed a cleansing enema. It is also desirable to remove hair on the external genitalia.
Since hysteroresectoscopy is a full-fledged operation, it is performed under general anesthesia. Before the operation, the anesthesiologist will inform the patient about the main points, features of anesthesia administration and exit from it. The average duration of the operation is 50 minutes, although the time may be increased during hysteroscopy of uterine fibroids.
On our website https://dobrobut.com/ you can get acquainted with the price of hysteroscopy and make an appointment for a consultation with a specialist. After a comprehensive examination, the doctor will prescribe a treatment regimen.
Diagnostic (office) hysteroscopy
The examination is performed under local anesthesia using an optical device with the smallest diameter (5 mm or 3 mm). During office hysteroscopy, there is no need to expand the cervical canal and insert mirrors. The pressure of the expansion medium is also significantly lower. The advantages of the method include painlessness, lack of prior preparation, hospitalization and the use of general anesthesia. The cost of such a procedure is several times lower compared to a classic operation.
Indications - infertility, suspicion of inflammatory processes in the uterus, preparation for IVF and miscarriages.
Contraindications to diagnostic hysteroscopy are the inflammatory process in the genitals and acute infectious diseases (influenza, angina, acute respiratory infection).Before planning the examination, it is important to consult with the doctor on which day of the cycle to perform a hysteroscopy.
Complications after office hysteroscopy are quite rare.
Hysteroresectoscopy
The operation is performed when it is necessary to not only examine the uterine cavity and confirm or refute the diagnosis. Hysteroresectoscopy is prescribed when there are signs indicating the need for surgical treatment from the beginning.
Indications for conducting:
- bleeding in the climacteric period;
- adenomyosis and uterine malformations;
- the need to remove the remains of the spiral, placenta and fetal egg;
- suspicion of malignant neoplasms;
- uterine hyperplasia and intermenstrual bleeding;
- polyps (hysterectomy of a polyp);
- control based on the results of hormonal therapy.
Contraindications include inflammation and infections of the genital area, the patient's serious condition, blood coagulation disorders, myoma over 6 cm, severe heart and kidney diseases.
Important: when prescribing a planned hysterectomy, including surgery to remove a polyp, the doctor must take into account the day of the menstrual cycle.
Postoperative period
Discharge and pain after hysteroscopy are insignificant. If after laparoscopy the bleeding continues for more than seven days, then the bleeding stops after two or three days. Please note that menstruation returns within a month after hysteroscopy. A woman needs to pay attention to their nature and color of secretions. In case of significant blood loss, you should immediately consult a doctor.
In the postoperative period, the patient may feel slight discomfort in the uterus. At this time, it is important to follow the doctor's individual prescriptions and general recommendations, namely: you cannot lift heavy things and douche, hot baths and hypothermia are unacceptable.
As for pregnancy after hysteroscopy, this issue is decided individually in each specific case, taking into account the complexity of the surgical intervention, the patient's condition, the peculiarities of the postoperative period, etc.
A short summary
Knowing all the nuances of this method, consult with a specialist you trust and decide where to perform a hysteroscopy. The minimum stay in the hospital, the absence of stitches and a short period of rehabilitation are the advantages of the modern examination method called hysteroscopy.
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