Hysteroscopy is done on what day of the cycle, when the best and whether you can perform the procedure during menstruation

Often, during the diagnosis of various gynecological diseases physicians prescribe hysteroscopy. This is a minimally invasive method to obtain reliable information on the state of the reproductive system. On what day of the cycle is hysteroscopy, a gynecologist decides, given with which purpose these manipulations are carried out.

Indications for hysteroscopy

hysteroscopy procedure performed as a planned and urgent. To her resorted during the examination and treatment of women in all age categories. Among the indications for release:

• abnormalities of reproductive organ development;
• particles ovum remained in the uterus after an abortion;
• a foreign body in the reproductive system organs;
• adhesion formation, fistula;
• pathological changes of the endometrium;
• malignancies;
• adenomyosis disease.

For diagnostic purposes, to conduct the procedure resorted to in such situations:

• identify space spiral localization;
• determining the causes of infertility and failed IVF;
• reproductive organ examination in the postoperative period;
• failure menstrual cycle;
• plentiful monthly;
• complications during pregnancy;
• Preparation genitals to conceive after abdominal operations;
• extraction old spiral, located in the body for more than five years.

Carrying hysteroscopy

In contrast to the diagnostic laparoscopy, in the course of which it is possible to study the apparent condition of the reproductive system, hysteroscopy It allows you to view the inside of the uterus carefully, and if necessary, immediately remove the pathological lesions without recourse to surgery Cavernous intervention.

Procedure is conducted as follows:

1. First of all, anesthesia is administered.
2. After the loss of tissue sensitivity produce expanding the cervical canal.
3. The cavity genitals placed hysteroscope uterus and filled with a liquid or gas to increase the body size for full study.
4. The camera, with which the device repeatedly transmits the enlarged image on the monitor. Thus the body is examined.
5. If necessary the scraping tissue. The resulting material was sent for histological analysis.
6. After this, all the tools are retrieved.

Duration of the treatment 20 minutes. Spend it on a certain day of the menstrual cycle. Date choose a doctor based on the research objectives.

On what day of the cycle is carried out

Perform the procedure after menstruation has ended. Hysteroscopy during menstruation is not performed. Usually, the patient is prescribed a survey on 5-10 day cycle.

The physiology of women is arranged so that with the onset of the first phase of the endometrial thickness minimum. The cavity of the uterus during this period is well visualized on it are clearly visible all the defects, blood loss is minimized, and polyps and other tumors are easily removed.

For the purpose of a detailed study of the functional features of endometrial hysteroscopy also nominated in the 15-18-th day of the cycle. If necessary, emergency diagnostics day of the procedure is not essential, but in any case it should be a period without menstruation. During the critical days of the study is uninformative.

With the onset of menopause, the procedure can be carried out completely in any given day. The main condition that during this period there was no uterine bleeding.

Menstruation after the procedure

In carrying out the procedure for detecting abnormalities of the cervix and genital organ of the parish menstruation after hysteroscopy It can be expected in the normal period. Sometimes there is a delay in the regulation range from three days to two weeks. Slight delay menstruation - the norm.

If during the execution of hysteroscopy performed scraping endometritis, the date of the transaction must be regarded as the first day of the cycle. Critical days have come after 28-30 days thereafter.

Violation of the cycle, the change in volume, color and odor discharge point to problems in the body. If you notice such symptoms need to immediately go to the hospital.

Treatment after hysteroscopy

The duration of treatment varies from five to seven days. Drugs used in this case in the form of tablets.

In case of manipulation in inflammatory processes in the uterus is appointed reception inflammatory and antibiotic agents. Before performing the procedure with intravenous ceftazidime or 1000 mg ceftazidime. After 12 hours, a day formulation is administered again without changing the dosage. If such therapy for some reason impossible, then assigned to receive broad-spectrum antibiotics.

In the same period necessary to use non-steroidal anti-inflammatory group (diclofenac, ibuprofen or piroxicam).

In the case of excision of adhesions in the cavity reproductive organ for two months in the womb set spiral. The risk of relapse is significantly reduced because of this. An alternative embodiment is considered the introduction of the silicone or a special balloon catheter term only for a week. During this period, a woman needs to take antibiotic agents.

Once the catheter or balloon had been recovered, and throughout the period of use of an intrauterine device resorted to hormone therapy. It lasts at least two months. After removal of the partition genitals prescribed reception antibacterial agents (or Ceftazidime Cefuroxime) and estrogen-based medications.

Complications after intervention

Hysteroscopy is a modern minimally invasive method of diagnosis and treatment of various gynecological diseases, but after the conference may develop complications that arise during the and after the operation. All of them are divided into several groups:

• operating;
• postoperative;
• provoked by the introduction of anesthesia;
• caused by the expansion of reproductive organ walls.

Operative complications are those that arise directly in the course of the intervention agencies in the reproductive system. The main ones are the formation of the hollow openings in the uterus and bleeding. They are observed when damaged organ walls, and due to their weakness. In the course of these manipulations can damage nearby organs. The reason may lie in bleeding uterine perforation, significant trauma and its muscular layer of blood vessels.

In the postoperative period, the occurrence of complications is possible immediately after surgery and after a few days. Among the main ones are the following:

• penetration of infection. With the development of these complications have resorted to the appointment of antibiotic agents with a broad spectrum of action. Before using them conducted antibiogram, which allows to determine the sensitivity of microorganisms pathogenic to certain groups of medicines;
• blood and other allocation after hysteroscopyRapidly increasing in volume. Their persists by making use of haemostatic agents. The cause of - a crack in the uterus, which eventually tightened, mucosal integrity is restored;
• the formation of adhesions in the uterine cavity. Their appearance is often observed when scraping large areas of mucous and complication of laser resection of the endometrium. The danger of the formation of adhesions is the risk of infertility;
• accumulation of blood in the genital organs.

Among the complications associated with anesthesia, is isolated allergic reactions to medications. In order to avoid such undesirable consequences, before the operation the woman must pass a comprehensive examination.

Hysteroscopy - a minimally invasive method for the diagnosis and treatment of various diseases of the female reproductive system. During it is possible to detect serious illnesses and immediately eliminate the pathological lesions. The procedure is performed on certain days of the cycle. Date appointed physician on an individual basis taking into account the clinical features and goals of the study.

also held hysteroscopy before IVFTherefore we encourage you to read more information about the timing of its implementation.