Office hysteroscopy: what it is, how it's performed, and what is needed

Hysteroscopy - Diagnostic and therapeutic method used in gynecology in modern hospitals. Visualization of the uterine cavity is able to produce hysteroscope - endoscopic apparatus equipped with the optical and lighting systems.

Diagnostic embodiment is applied during the inspection of the uterus, makes it possible to identify intrauterine anomalies such as polyps, adhesions, cysts, uterine fibroids, endometrial pathology. Operating device except inspection next surgical treatment, it has a special tool - the instrument channel.

A variety of research has become an office version, used for the diagnosis and implementation of small surgical procedures in ambulatory conditions. Office hysteroscopy is performed in the traditional gynecological examination, the woman does not need anesthesia. It is used to detect the causes of infertility. Treatment of a number of gynecological diseases is impossible without determining accurate diagnosis set using this advanced technique.

Features of the method

Office hysteroscopy in women of reproductive age is held on 6-10 th day of the cycle. It is the most suitable period for hysteroscopic uterine cavity examination. Infertility gynecologist will receive the maximum information on the 20-24-day cycle, life is not important after menopause.

During the preparation of the woman delivers the following tests:

• general blood analysis;
• on blood sugar;
• HIV and RW;
• clotting;
• for determination of blood type and Rh factor.

If necessary, the doctor prescribes additional research.

This procedure is not recommended with a probability of serious diseases, the risk of removing large polyps or nodes. It is more expedient to appoint immediately the traditional version survey. In this case not provided cervical canal expansion, hysteroscopy does not cause pain, discomfort possible.

Office technique is intended for the diagnosis and treatment of a number of manipulations:

• Endometrial biopsy site specific surface;
• incomplete scraping the mucous membrane;
• removing medium-sized polyps.

Hysteroscope comes with tweezers, scissors, electrodes for surgical procedures. Quite often spend gistereskopiyu before IVF. No need for cervical dilatation, reduced risk of cervical incompetence. The endoscope is inserted into the uterus, her gynecologist examines, evaluates the processes occurring in it. If necessary, at the same time the doctor performs surgery.

Indications for

Office hysteroscopy uterine shown for mounting an accurate diagnosis.

This method is used in the following cases:

• miscarriage;
• heavy and painful menstruation;
• swelling;
• female infertility;
• fallopian tube;
• postnatal complications;
• the development of the inflammatory process;
• adhesions;
• uterine polyps;
• endometriosis;
• Pathology of the uterine structure.

If necessary, the gynecologist during the procedure selects material for histology.

Contraindications

To avoid potential complications, it is necessary to bear in mind a number of contraindications:

1. Pregnancy. Manipulation during pregnancy can lead to miscarriage.
2. Genital diseases of inflammatory nature. It increases the risk of spreading inflammation on the layers of the endometrium and the pipe.
3. Infectious diseases of the genital tract.
4. Cancer. During the expansion of the uterus increases the risk of the spread of cancer cells in the tube, and abdominal organs.
5. Bleeding. Informativeness diagnosis low, requires constant flushing suction cavity and blood clots. For the same reason, the procedure is not assigned at the time of menstruation.
6. Cervical narrowing. There is a danger of injury to the cervical canal tissue.
7. Diseases of heart, blood vessels, kidney and liver in the acute stage.

In the presence of contraindications diagnostic hysteroscopy office carried out only if it is vital.

How is the procedure

Timing of manipulation depends on the purpose of the survey and the woman's age. The procedure is performed on the gynecological chair. Genitals outside the vagina and disinfected with an antiseptic solution. If necessary, the doctor makes anesthesia means topical application.

The procedure is performed as follows: hysteroresectoscopy introduced through the vagina, the uterus cavity is filled with a special substance, necessary for visualization. The image is reflected on the screen. The gynecologist can see the condition of the pipe, the inner layer of the uterus, fallopian whether nodes whether spikes are present there. You can view a different magnification. Manipulation recorded on the disc, the physician can later view the results. At the request of the record is given to women in her hands.

The doctor evaluates:

• the shape and size of the uterus;
• topography and density of its walls;
• state of vascular and mucosal thickness;
• Education - fibroids, polyps, synechiae;
• fallopian tube;
• mucous membrane of the cervical canal.

For two hours, a woman is under medical supervision. Office hysteroscopy - a highly informative examination, allowing appropriate treatment, to prevent the risk of serious gynecological diseases.

Benefits

The results of hysteroscopic survey are accurate. This technique replaces the traumatic intervention, such as scraping, which could lead to the emergence of uterine pathology.

The procedure has several advantages over the conventional method:

1. No need to find a woman in the hospital, a survey carried out in a specially equipped room.
2. For inspection using an endoscope with a diameter of 1 to 3 mm, it is much less than in the standard unit.
3. Due to the small size of the device is not necessary in the cervical enlargement using mirrors. Pain during the procedure, no, minimizing the possibility of injury.
4. All manipulations are carried out without anesthesia.
5. The procedure usually takes less than 20 minutes, the woman does not need to be hospitalized after the survey.
6. The small number of complications and side effects.

complications

Usually the procedure takes place without complications. The woman with the well-being of the following problems may arise:

1. Minor pain and cramping in the abdomen. This is a normal reaction to the tool interference. You can take painkillers.
2. Meager spotting within two days after the procedure. They are the norm. If bleeding is significant, lasts a long time, you need to seek medical help. The doctor will select the hemostatic and reducing agents.
3. Spotting with an admixture of pus accompanied by pain in the abdomen. May indicate the emergence of symptoms of endometritis. A comprehensive treatment with antibiotics.
4. Violation of the menstrual cycle. Since in almost no time injured endometrium procedures usually critical days are coming a little late (two to three days). If the surgical manipulations were performed, for example removal of small polyps possible long delay of menstruation. It is necessary to control her temper, in the case of serious deviations consult with a specialist.

In order to avoid possible complications, it is recommended to follow some rules:

1. A few days to give up sex.
2. Within 1-2 weeks, do not take a bath, do not use the sauna, steam room, swimming pool. shower permitted.
3. Do not douche or use a tampon.
4. Avoid strenuous exercise and sports.

Gynecologists appreciate office hysteroscopy. It helps to diagnose, detect fibroids and polyps measuring 1-2 mm even. If a woman does not get pregnant because of existing adhesions and adhesions can be a quarter of an hour to determine the exact location and get rid of them. To identify a problem with this method there is no need for hospitalization.