Hysteroscopy is minimal invasive procedure. The surgeons perform hysteroscopy to view and examine inside the uterus. Hysteroscopy can be used to diagnose or correct the problem in your uterus without making any incision on your abdomen.
Reasons for diagnostic hysteroscope:-
. Evaluate abnormal uterine bleeding
. Investigate causes of infertility
. Detect abnormal growth in uterus such as:- fibroids, polyps and malformation.
Reasons for operative hysteroscopy :
. Remove benign growth from uterus
. Obtain a tissue sample for the biopsy from the uterus
. Locate intra uterine device (IUD)
. Implant birth control devices in fallopian tube
Before the procedure:
. General anesthesia
. Regional anesthesia
. Local anesthesia
The doctor uses hysteroscope, a thin device equipped with a camera, a light through the vagina into the uterus. In a operative hysteroscopy doctor inserts small tools through the hysteroscope to take the biopsy and remove the growth and treat other problems.
After the procedure:
. Doctor provide pain medication
. Return to normal activities in 1-2 days
. Mild cramping, bloody discharge
Many studies about hysteroscopy has proved that it has the improved chances of fertility enhancing surgery. Moreover than that, hysteroscopy can be used with other minimal invasive procedure such as laparoscopy.
The overall rate of complication from diagnostic hysteroscopy and operative hysteroscopy is 2% and the serious complications is less than 1%.
Indication for hysteroscopy:
1) uterine polyps(polypectomy)
2) Intrauterine Adhesions/Asherman syndrome (Adhensiolysis)
3) sub-mucous fibroids (myomectomy)
4) Intra-uterine septae(metroplasty)
5) Diagnosis of other Intrauterine problems