Hysteroscopy is carried out both for diagnosis (diagnostic hysteroscopy) and for the treatment (operative hysteroscopy) of various diseases of the genital organs. When examining the cavity of the uterus, the doctor can take a piece of the endometrium from the "suspicious" area for examination. Based on the results of the analysis and the examination performed, a final diagnosis can be made.
With a surgical hysteroscopy, a hysteroscope is used with various instruments (microscopic scissors, scissors, small scalpels) with which the doctor can perform various surgical procedures. This procedure is carried out under general anesthesia. Before her, the patient gives the necessary tests. But the postoperative period lasts only a couple of days. If the hysteroscopy was performed only for diagnosis, then the patient is discharged within a few hours.
The procedure for today is quite safe. There are practically no complications. However, there are a number of states, at which hysteroscopy is contraindicated:
- inflammatory processes of the genitals;
- stenosis of the cervix;
- cervical cancer;
- all kinds of tumors;
- cardiovascular diseases;
- profuse uterine bleeding;
- Infectious diseases (influenza, angina, acute respiratory infections).
So what is the purpose of hysteroscopy? There are many indications:
- irregular uterine bleeding;
- myoma of the uterus;
- intrauterine fusion after abortion or complicated delivery;
- suspicion of endometrial cancer;
- endometrial hyperplasia;
- endometrial polyp;
- intrauterine partitions;
- adhesions in the uterine cavity;
- anomalies of the development of the uterus;
- the remains of the fetal egg;
- foreign bodies in the uterine cavity;
- infertility associated with uterine factors;
- treatment of endometrial hyperplastic processes;
- ingrown or lost intrauterine device.
Based on the indications for hysteroscopy, it follows that it can be very useful for infertility. Many women often ask whether pregnancy occurs after hysteroscopy. There is no unequivocal answer. After all, everything depends not on the procedure, but on the pathologies that will be discovered during the investigation. "Miscarriage" or "non-occurrence" of pregnancy, as well as unsuccessful attempts of IVF alone are not always an indication for hysteroscopy. To appoint this procedure, a gynecologist has a number of additional reasons. To eliminate or detect the uterine factor of infertility, as well as to eliminate it in the clinics of reproductive medicine, hysteroscopy is performed quite often.
Causes of infertility are different. Hysteroscopy determines the state of the fallopian tubes as accurately as possible. Sometimes the reason for their obstruction is the presence of polyps or adhesions. And just the hysteroscope is able to remove the polyp, destroy the adhesions and eliminate other pathologies that can provoke infertility.
The cause of frequent miscarriages is sometimes inflammation of the mucous membrane of the uterine cavity, as well as the defects and anomalies in the development of the "genital" organ. The diagnosis confirmed by hysteroscopy is the most accurate.
Usually, after the procedure, doctors prescribe a course of antibiotics (3-5 days) to avoid possible inflammatory processes. And, depending on the diagnosis, appropriate treatment is carried out: complex anti-inflammatory therapy, hormonal treatment, stimulation of the ovaries and so on. If the patient found processes that are not amenable to correction, then the doctors propose to prepare for IVF.
Also after the procedure, ultrasound examinations at 1, 3 and 6 months are mandatory. Sexual life is recommended to restore no earlier than in 2-3 weeks. But you can plan your pregnancy six months after the operation. However, the exact terms are decided individually. It often happens that pregnancy comes on its own 2-3 months after the hysteroscopy.