When is hysteroscopy required?

14-06-2018

How does the hysteroscopic examination go?

Hysteroscopy is a minimally invasive procedure whereby a small-sized optical instrument is introduced through the vagina and the cervical canal into the uterus cavity so reliable information can be gained about the lesions inside the uterus.

Depending on the nature of the intervention, individual conditions, and pain sensitivity, the procedure is done under general or local anesthesia.

If necessary, with the help of the hysteroscope we are able to transmit special instruments to the uterus and take tissue samples easily and painlessly for microscopic examination. Simultaneously with the diagnostic endoscopy, smaller interventions can also take place.

When is hysteroscopy recommended?

In case of infertility problems

Hysteroscopy may be needed in the case of a pair of the man has been examined to explore the causes of infertility issues, and the results were negative. In this case, the cause of infertility examination will be carried out at the prospective mother as well. There may be many reasons behind female infertility, such as:

• hormonal causes regulating the ovulation process of oocytes,
• the underactive or overactive of the thyroid gland,
• or the most common malformation of the ovary, the polycystic ovarian syndrome (PCOS).

Anatomical reasons should also be mentioned, one of the most common is the fallopian tube obstruction. In this case, the Hystero-contrast-sonography (HyCoSy) should be performed.

An additional complication factor may be if we are dealing with endometriosis. In these cases, the endometrium is found outside the uterine cavity, for example in the abdominal cavity, resulting in inflammation, concrescences, and adhesions, making pregnancy more difficult. This disease can be corrected by surgery and by medication.

In the case of bleeding disorders

Certain anatomical changes (such as fibroids, polyp, or malignant tumors) may cause recurrent bleeding disorders that may cause milder or more severe abnormalities. When it comes to bleeding disorder, it is advisable to contact a gynecologist immediately: first, ultrasound tests are usually performed, and then, when the ultrasound does not provide enough information, hysterectomy can also be performed.