Hysteroscopy

Hysteroscopy is a procedure that involves insertion of a narrow telescope-like instrument through the vagina and cervix into the cavity of the uterus (endometrial cavity). The uterine cavity is then distended with fluid and visualized.

Hysteroscopy used for ?

This procedure allows us to see if there are any uterine cavity defects such as :

• Fibroid tumors
• Endometrial polyps
• Intrauterine scar tissue
• A bicornuate uterus or septate uterine malformation
• Other uterine problems

If any defects are found then they should be corrected with operative hysteroscopy which involves placing instruments through ports in the scope that allow us to cut, cauterize, etc. to correct the problem.

Timing of the Hysteroscopy Process

Hysteroscopy is an out-patient procedure that is usually done in a hospital but can also be done in the office. The actual procedure (diagnostic) usually takes 2-5 minutes.

No anesthesia at all is needed for most cases of diagnostic hysteroscopy if a microhysteroscope (scope diameter less than 5mm) is used. General anesthesia or local anesthesia can be used if any operative work is required. Usually the woman is discharged home approximately 15-30 minutes after the procedure. She can return to work the next morning if general anesthesia was used, or immediately if no anesthesia (or local) was used. Mild pain and cramping is common after operative hysteroscopy, but it usually is brief (lasting perhaps 30 minutes, possibly up to 8 hours).

Diagnosis & Therapy

• Diagnosis : Uterine synchie, Uterine malformations, Interstial tubal occlusion
• Therapy : Lysis of synchie, Resection of uterine septum, Removal of interstial tubal block

What problems can defects of the uterine cavity cause ?

Abnormalities of the endometrial cavity can be responsible for infertility or problems with recurrent miscarriage. Hysteroscopy and other methods, such as a hysterosalpingogram, ultrasound, or ultrasound with saline test are useful in diagnosing and correcting these defects.

Complications

Complications associated with hysteroscopy include the possibility of infection, uterine perforation, vaginal bleeding, and fluid overload.

Hysteroscopy at IFC

International Fertility Centre specializes in Hysteroscopy for women with menstrual disorders and other issues concerning the womb lining or cavity. Patients with abnormal vaginal bleeding and abnormalities on pelvic ultrasound scans also seek hysteroscopy at IFC.

At IFC, hysteroscopies are done regularly by senior gynaecologists and dedicated nursing staff. This procedure comes with minimal discomfort and is usually well-tolerated. In case, the patient feels discomfort, we advise them to take simple pain killers just before the procedure. The overall procedure does not take more than an hour.

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