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What You Should Know About Hysteroscopy

Hysteroscopy is a procedure using a hysteroscope to inspect the inside of your uterus in order to diagnose and treat urinary diseases. A hysteroscope is a thin, lighted tube. Its function is to examine your vagina and uterus. This procedure is painless and leaves no injuries.

What is Hysteroscopy

Hysteroscopy is a procedure to examine the cervix and uterine abnormalities. A hysteroscope is a narrow, thin, lighted tube with a camera at the end. The images are delivered to the monitor when the apparatus is inserted into your vagina, allowing the doctors to view the state of your organs.

When is Hysteroscopy Necessary?

Hysteroscopy is indicated for those who have gynecological conditions such as abnormal vaginal bleeding, postmenopausal bleeding, and infertility. Women can also have hysteroscopy to check their cervix and uterus despite having no abnormal symptoms.

Here are some examples of cases in need of hysteroscopy:

How to Prepare for Hysteroscopy

Here are steps to prepare yourself for hysteroscopy procedure:

1. Patients are given sublingual medicines to widen the cervix around two hours before the inspection.

2. Hysteroscopy procedure is to be carried out before or after the menstrual period. It is recommended to have an examination after the menstrual period has ceased for 5-7 days.

3. Do not have hysteroscopy in case of pregnancy.

4. In some severe cases, a surgery might be needed to thoroughly examine the pathology. In these cases, fasting is required at least 6 hours before the surgery.

Hysteroscopy Procedure

What’s the role of hysteroscopy in diagnosis?

Hysteroscopy procedure is in fact similar to an internal examination. Firstly, the patient will be asleep with open legs. A hysteroscope is inserted into the vagina, passing through the cervix and examining the uterine cavity. The images will appear on the monitor, showing the state of the organs. Normally, Hysteroscopy lasts about 10-15 minutes. However, if there are any abnormalities in the needed biopsy, the examination will usually take longer.

Hysteroscopy is useful both in diagnosing and treating illnesses. The diagnostic method is usually applied to women with abnormalities in their uterine cavities: tumors or polyps. Women with unusual bleeding and infertility can also undergo examinations. Hysteroscopy procedure is used to help examine the uterine cavity in women who want to do IVF as well.

Complications of the hysteroscopic procedure such as infection or inflammation, rarely occur. However, it is possible if the patient has a pelvic infection going on at the time of the examination. One of the most common symptoms of pelvic infection is lower abdominal pain, which is treatable by medications.

Generally, patients can continue doing normal activities after receiving hysteroscopy. Nevertheless, it is recommended to refrain from sex for about 3-5 days.

Office Hysteroscopy

What is Office Hysteroscopy

What is Office Hysteroscopy?

Office Hysteroscopy, or microscopic examination of the uterine cavity, is a procedure using a small camera to examine the female reproductive organs. The method is similar to Hysteroscopy, inspecting and examining the cervix and the uterus by using a thin tube with a camera at the end. Office Hysteroscopy is indicated for those who cannot receive regular physical examinations such as X-ray or ultrasound. This type of Hysteroscopy procedure is suitable for women with abnormal menstrual periods, fibroids, polyps, or tumors in the uterus. People with postmenopausal bleeding or abnormal uterus shapes are candidates for Office Hysteroscopy as well.

Who should consider an office hysteroscopy

Candidates for Office Hysteroscopy are as follow:

1. Women of childbearing age with irregular menstrual bleeding.

2. Women with very little or no history of menstruation.

3. Women with heavy menstruation with no uterus pathology.

4. Women with severe menstrual cramps with suspected uterine pathology.

5. Women who are undergoing uterine ultrasound with suspicion of fibroids or polyps in the uterus.

6. Women with abnormal uterus shapes.

7. Women with infertility issues.

8. Women who are infertile after having a miscarriage and undergoing a curettage.

9. Women having 2 or more recurrent miscarriages.

10. Non-pregnant women undergoing IVF with a history of two or more good quality embryos transfers.

11. Women who have been wearing an IUD for a long time and with the inability of pulling out the loop normally.

12. Postmenopausal women with uterine bleeding.

Who is NOT suitable for an office hysteroscopy

Patients/Conditions that are not suitable for Office Hysteroscopy are listed below:

1. Those who are pregnant.

2. Those are currently in their menstrual periods.

3. Those who have pelvic infection.

Office Hysteroscopy Advantages

Office Hysteroscopy offers advantages such as convenience and accuracy, for the procedure can be performed along with other methods: curettage and hysteroscopy with biopsy. The doctors can thoroughly examine the uterus by inspecting the images shown on the monitor. This results in a more precise diagnosis and treatment. Another advantage of Office Hysteroscopy is that the risks of complications are lower than normal Hysteroscopy, for which anesthesia is not needed.

Hysteroscopy Conclusion

Hysteroscopy is a procedure with the purpose of diagnosing and treating gynecological diseases. By using a hysteroscope, a thin, lighted tube to examine your cervix and uterus, Hysteroscopy is useful both in prevention and diagnosis. Candidates for Hysteroscopy are those who experience abnormal vaginal bleeding, postmenstrual period, etc. The procedure is useful in treating those who have infertility issues as well.

Office Hysteroscopy is similar to normal Hysteroscopy. However, the differences are that it is more convenient and practical in terms of performing other procedures simultaneously. Hysteroscopy costs vary depending on each healthcare provider. Before having the examination, patients are advised to speak with doctors about their symptoms and illnesses.


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