Infertility Treatments Hysteroscopy
Uses of Hysteroscopy
Hysteroscopy is a minor surgery that may be done in a doctor’s office or operating room with local, regional, or general anesthesia. In some cases, little or no anesthesia is needed. the procedure poses little risk for most women. Hysteroscopy may be used for diagnosis, treatment, or both.
Hysteroscopy can be used to diagnose some problems in the uterus. it also can be used to confirm the results of other tests, such as hysterosalpingonraplry(HSG)
The Hysteroscope is sometimes used with other instruments or techniques. For instance, it may be done before dilation and curettage (D&C) or at the same time as laproscopy. In a D&C, the cervix is widened (dilation) and part of the lining of the uterus is removed (curettage). In laproscopy surgery, a slender, telescope like device is inserted into the abdomen through a tiny incision (cut) made through or just below the navel. Hysteroscopy also may be used for other conditions.
Abnormal Uterina Bleeding. A women has this condition if she has heavier or longer periods than usual, bleeds between periods, or has any bleeding after her periods have stopped at menopause Hysteroscopy may help the doctor and find the cause of abnormal bleeding that other methods have not found. It may be used to take a biopsy
Infertility. A couple may not be able to achieve pregnancy for a number of reasons. Sometimes the cause of female infertility is related to the defect in the shape or size of the uterus. One example of this is a seperate uterus( a thin sheet of tissue divides the inside of the uterus into two sections). Hysteroscopy may find these problems if other tests do not.
Repeated Miscarriages. Some women , although able to get pregnant,lose the fetus to miscarriage the loss of a pregnancy before 20 weeks. Hysteroscopy can be used with other tests to help find the causes of repeated miscarriage.
Adhesions. Bands of scar tissiue, or adhesions, may form inside the uterus. This is called Asherman syndrome. These adhesions may cause infertility and changes in menstrual flow. Hysteroscopy can help locate adhesions.
Abnormal Growths. Sometimes bening growths, such as polyps and fibroids, can be diagnosed with the hysteroscope, Hysteroscopy mighthelp a doctor to biopsy a growth in the uterus to find out whether it may be cancer or may become cancer.
Displaced IUDs. An intrauterine device (IUD) is a small plastic device inserted in the uterus to prevent pregnancy. In some cases, it moves out of its proper position inside the uterus. It then embeds it self in the uterine wall or the tissue around it. Sometimes hysteroscopy can be used to locate an IUD.
The uterus is a muscular organ located in the pelvis. It is broad at the top and narrow at the bottom. At each side of the upper part, a follopian tube leads outword toword an ovary. The ovaries contain many eggs,or ova, and normally release one during each menstrual cycle. The tubes carry a fertilized egg from the ovaries to the uterus. The lower end of the uterus, Called the cervix, is a norrow channel with a small opening. It opens into the vagina.
Laproscopy sometimes is done along with hiseroscopy
Operative HysteroscopyWhen hysteroscopy is used to diagnose certain conditions, it may be used to correct them as well. For instance, uterine adhesions or fibroids often can be removed through the hysteroscope. Sometimes Hysteroscopy can be used insted of open abdominal surgery. Often it will be done in an operating room with general aneshesia.The hysteroscope is used to perform endometrial ablation — a procedure in which the lining of the uterus is destroyed to treat some causes of heavy bleeding. after this is done, a women can no longer have children. For this procedure, the hysteroscope is sometimes used with other instruments, such as a laser or a resectoscope. The resectoscope is a specially designed telescope with a wire loop or a rollerball at the end . Using electric current, any of these tips can be used to destroy the uterine lining. Endometrial ablation is done in an outpatientsetting in most cases.What to ExpertHysteroscopy is a safe procedure. problems such as injury to the cervix or the uterus, infection, heavy bleeding,or side effects of the anesthesia occur in less than 1% of cases
Hysteroscopy is best done during the first week or so after a menstrual period. This allows a better view of the inside of the uterus.
If you having a hysteroscopy in a hospital, you may be asked not to eat or drink for a certain time before the procedure. Some routine lab tests may be done . You will be asked to empty your bladder. Then your vaginal area will be cleansed with an antiseptic.
Hysteroscopy may be performed with local, regional, or general aneshesia. The type used depends on a number of factors. This includes whether other procedures are being done at the same time. Where you have your surgery– in your doctor’s office or in the hospital– also may affect the kind of pain relief used. You will want to discuss your options with your doctor.
Before procedure, your doctor may prescribe a medication to help you relax (a sedative) before the anesthetic is injectd. When a local anesthetic is used , it is injected around the cervix to numb it. You may feel some cramping
With regional anesthesia, a drug will be injected to block the nerves that recieve feeling from the pelvic region. You be awake but will not feel any pain. The anesthetic will be given through a needle or tube in your lower back. This is called a spinal or epidural.
With general anesthesia, you breathe a mixture of gases through a mask. you will not be conscious during the surgery. After the aneshetic tasks effect, a tube may be put down your throat to help you breathe.
Before a hysteroscopy, the opening of your cervix may need to be dilated (made wider) with a special device. The hysteroscope then is inserted through the vagina and cervix and into the uterus.
A liquid or gas may be released through the hysteroscope to expand the uterus so that the inside can be seen better. A light shone through the device allows the doctor to view the inside of the uterus and the openings of the fallopian tubes into the uterine cavity. If surgery is to be done , small instruments will be inserted through the hysteroscope.
For more complicated procedures, laproscope may be used at the same time to view the outside of the uterus . In this cas, a gas is followed into the abdomen. The gas expands the abdomen. This creates a space inside by rising the wall of the abdomen moving it away from the internal organs. This makes the organs easier to see. Most of this gas is removed at the end of the procedure. This procedure is not done in the office.
If local anesthesia was used, you will be able to go home in a short time.If regional or general aneshesia was used , you may need to be watched for some time before you go home.
You may feel a pain in your sholders if laproscopy was done with hystroscopy or if gas was used during hysteroscopy to inflate the uterus. In most cases, the pain passes quickly as the gas is absorbed. You may feel faint or sick or you may have slight vaginal bleeding and cramps for a day or two. get in touch with your doctor if you have:
- A fever
- Severe abdominal pain
- Heavy vaginal bleeding or discharge
A fibroid is a bening growth that may form inside the uterus.