Hysteroscopy

Hysteroscopy is a minimally invasive endoscopic method used in the diagnosis and treatment of infertility, recurrent miscarriages, as well as abnormalities and diseases within the uterus. The procedure consists in inserting a hysteroscope through the vagina and the cervical canal into the uterus - an optical device equipped with a system of lenses and a digital camera that allows for a thorough examination of the uterine cavity, as well as special micro-tools enabling the procedure.

By imaging the inside of the cervical canal, the uterine cavity and the assessment of the uterine fallopian tubes, the doctor can locate polyps, fibroids, adhesions, cancerous tumors, congenital defects, and also take tissue samples for histopathological examination.

Diagnostic hysteroscopy

INDICATIONS FOR TESTING:

• difficulty getting pregnant (infertility)
• problems with carrying the pregnancy to term (recurrent miscarriages),
• abnormalities in the structure of the uterus,
• suspected disruption of the uterine wall,
• menstrual cycle disorders,
• bleeding of unknown origin,
• proliferative changes of the endometrium,
• adhesions, submucosal fibroids, polyps, septa.

PREPARATION FOR THE TEST:

• the patient reports for the examination between the 8th and 12th day of the cycle,
• do not eat or drink 6 hours before the examination,
• come with an accompanying person, because after the procedure he cannot drive a motor vehicle,
• arrive 30 minutes before the examination to take a Dormicum tablet,
• the patient should bring a T-shirt and slippers to the procedure.

THE COURSE OF THE TEST:

The procedure is performed in the gynecological position. The doctor gently inserts the hysteroscope through the vagina and cervix into the uterine cavity. Then the inside of the uterus is filled with saline, which facilitates the observation of the surface of the endometrium and the openings of the uterine fallopian tubes. The procedure is performed under short-term local anesthesia. The inconvenience associated with the procedure can be compared to a regular gynecological examination. The patient can go home immediately after the procedure.

Diagnostic hysteroscopy is a safe examination, complications are very rare. Sometimes there is light bleeding and pain in the lower abdomen. If these symptoms persist, see your doctor.

Interventional hysteroscopy

Interventional hysteroscopy is used in the treatment of conditions detected during diagnostic hysteroscopy.

INDICATIONS FOR TESTING:

• infertility and infertility
• adhesions within the uterine cavity,
• adhesions within the fallopian tubes,
• endometrial polyps,
• submucosal fibroids,
• congenital uterine defects,
• bleeding from the uterine cavity,
• resection of changes in the uterine cavity - fibroids, endometrial polyps,
• endometrial ablation/resection.

THE COURSE OF THE TEST:

The hysteroscope used during surgery has a larger diameter than the one used for diagnostic hysteroscopy. It is equipped with a channel through which the doctor introduces micro-instruments. A resectoscope is used to remove polyps, fibroids, adhesions or septa. Usually you can leave the hospital 3 hours after the procedure, although in justified cases this time may be extended to 24 hours.

CONTRAINDICATIONS TO HYSTEROSCOPY:

• recent or existing inflammation of the genitals,
• profuse uterine bleeding,
• pregnancy,
• cervical cancer,
• complications of hysteroscopy,
• damage to the uterine wall;
• bleeding,
• infection,
• pulmonary embolism (rare, with CO2 gas medium).