When is hysteroscopy necessary?

Hysteroscopy of the uterus is a method that allows you to examine, and if necessary, to cure the uterine cavity. It is performed with the help of a hypersensitive tool - a hysteroscope. The first such operation was carried out in 1869. It was performed by a device, which, according to its external data, resembled a cystoscope. After the fiber optics was introduced into medicine, the possibilities for performing the examination of the uterus were significantly expanded. At the moment, the hysteroscopy of the uterus is divided into therapeutic and diagnostic.

Indications for diagnostic hysteroscopy :

• When suspected of cervical cancer, endometriosis, fibroids, endometrial pathology, fusion in the uterus.

• Cleaning the walls of the uterus after performing a diagnostic curettage or abortion.

• Anomaly of the uterus.

• Bleeding during menopause.

• Violation of the menstrual cycle.

• Infertility.

• After treatment with hormone-based drugs.

Also, hysteroscopy of the uterus is used to monitor the condition of this organ after carrying out any operations on it and the pathological inability of a woman to bear the child.

Indications for therapeutic hysteroscopy :

• When a submucosal uterine myoma is detected.

• If there is an intrauterine partition or synechia (splice).

• Polyp or endometrial hyperplasia.

• When removing intrauterine contraception.

Hysteroscopy of the uterus: preparation

Hysteroscopy - this is though a small, but still operational intervention. Therefore, it requires special training, which should include the delivery of blood, urine and vaginal smear tests. It is also necessary to do electrocardiography and chest X-ray. Women of advanced age, especially those who are overweight, it is advisable to conduct a blood test for glucose levels.

All studies can be done both before the patient enters the hospital and during her stay in the hospital. If the hysteroscopy of the uterus is carried out in a planned manner, then on the eve of the operation a cleansing enema is made.

The best moment for the examination of the uterine cavity is from the 5th to the 7th day of the menstrual cycle. It is at this time that the endometrium is still very weak and bleeds a little. In emergency cases, for example, with severe bleeding, the timing of the operation does not matter.

Hysteroscopy of the uterus

Hysteroscopy of the uterus is performed under intravenous anesthesia, in which the cervix is anaesthetized to open it. Then a sterile solution of glucose is fed into the cavity , after which the hysteroscope is inserted into the vagina and advanced through the neck. At the tip of the instrument are a light bulb and a camera, through which the gynecologist on the screen sees everything that is inside the uterus. If necessary, a manipulator is inserted, which, with the aid of a current, removes the focus of the disease.

After operation

After hysteroscopy, a woman can feel spasmodic pain (resembling menstrual pain) and a slight malaise, which in most cases occurs after 10 hours. If these feelings do not pass after the specified time, the gynecologist prescribes treatment after hysteroscopy in the form of pain medications. To prevent the inflammatory process, at the discretion of the attending physician, a weekly course of antibiotic therapy is prescribed.