Office hysteroscopy is a medical procedure using an endoscope to look inside the cervix to see any abnormalities and pathology in the uterine cavity directly. It can check the opening area of the fallopian tubes into the uterine cavity. Office hysteroscopy is the better than normal hysteroscopy , the doctor can see the condition of the uterine cavity to determine the exact cause of gynecological disorders in women such as abnormal vaginal bleeding, menopausal bleeding and infertility.
Office hysteroscopy is important for women who have gynecological issues such as vaginal bleeding, postmenopausal bleeding, recurrent miscarriage, and infertility from uterine cavity issue. Office hysteroscopy also helps treating women in removal of a polyp or uterine lump surgery for biopsy, removal of adhesions within the uterine cavity that may has been injected or has a scar before and helps destroying tissue within the uterine in using with electrocautery for the case that has too much blood during period. Especially, for women who have symptoms that are risk of cancer such as; having more or abnormal vagina bleeding, lower abdominal pain, vaginal discharge has an abnormal smell, and high fever; patient should have an office hysteroscopy before it spreads. Office hysteroscopy helps doctors see clearly to examine and diagnose the uterus. It can allow to give treatment simultaneously, making medical treatment safe, accurate, and more effective. However, office hysteroscopy is not suitable for patients who are currently having menstruation, pregnant or have inflammation in the pelvis or fallopian tubes.
Office Hysteroscopy method uses a small camera inserted through the cervix. It can show abnormalities in the uterus through the display screen in cases where the diagnosis cannot be made from the regular physical examination, history or Ultrasound and X-ray. Office hysteroscopy can be done together with other methods, such as curettage or the use of a small tube to gather cells for examination, wherein these methods cannot directly see the pathology of the uterine cavity which is more accurate than endoscopic examinations. Office hysteroscopy procedure normally takes about 10-15 minutes. In some cases where abnormalities are found, the doctor may have a biopsy to be tested for pathology and continue to plan for treatment which may take a longer period of examination. Also, office hysteroscopy is convenient and less likely to have complications than normal hysteroscopy because patients do not need anesthesia or to fast before the endoscopy.
In the office hysteroscopy examination, patients do not need special preparation. In some cases, the doctor may give a sublingual medication to dilate the cervix approximately 2 hours before the office hysteroscopy diagnose. However, office hysteroscopy operation should do after the menstrual period has stopped for 5 to 7 days and make sure that patients do not in the period of pregnancy. In case the pathology is large, the doctor may need to make an appointment for surgery for uterine pathology in the operating room. After an office hysteroscopy examination, the patient can perform normal activities after the examination but advice to abstain from having intercourse for 3-5 days to avoid infection.
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