What is hysteroscopy?
Hysteroscopy is a method that is applied with optical devices and allows the evaluation of the cervix and the inside of the uterus. In this method, diagnosis can be made and treatment can be provided simultaneously. In order to obtain accurate results and to provide appropriate treatment, it must be performed by specialist and experienced doctors.
How is hysteroscopy performed?
Hysteroscopy can be performed in two ways. The first method is diagnostic hysteroscopy. The second method is therapeutic. Diagnostic hysteroscopy is usually performed in the office. The patient may be given limited anesthesia or sedatives to ensure comfort. In this way, the patient does not feel any pain or suffering.
In various cases, bleeding may be observed after the application. In these cases, medications should be taken according to the doctor's instructions. No medication should be used without the doctor's knowledge and advice.
What are the advantages of hysteroscopy?
In this method, the patient can be treated as an outpatient. There is no need to stay in the hospital.
Structures or problems related to the inside of the uterus can be clearly detected.
The patient can return to his/her daily life shortly after the application.
There is no pain or ache after the surgical intervention.
The method can provide diagnosis and treatment simultaneously.
Who cannot undergo hysteroscopy?
Just as not every surgical intervention or treatment can be applied to everyone, hysteroscopy cannot be applied to some patients. These patients;
Patients with active infection in the uterus
Patients with active infection in the cervix
Patients with medical conditions that prevent them from undergoing any surgery or anesthesia.
Pregnant women
Those with uterine cancer
How long does hysteroscopy take?
The duration of this procedure varies depending on the patient's problem and the purpose of the hysteroscopy. While it can be completed in five minutes for some patients, it can take up to an hour for others.
During hysteroscopy, the cervix is dilated. For this reason, sexual intercourse may be prohibited until the next check-up in order to avoid the risk of infection.
What is Diagnostic Hysteroscopy?
If the patient has myoma, polyp or other structures, diagnostic hysteroscopy can be performed to make the correct diagnosis. However, diagnostic hysteroscopy is also used in unexplained infertility problems. This procedure is sometimes performed on its own, and sometimes it is performed together with laparoscopy . The uterine cavity is also examined for diagnosis.
At the same time, all research and diagnosis procedures for infertility problems, recurring miscarriage problems or abnormal menstrual bleeding can be performed with this method.
Diagnostic hysteroscopy is performed in the following cases:
Irregular menstrual bleeding,
Infertility problems,
Recurrent pregnancy losses,
Suspicion of intrauterine adhesion,
Polyp, myoma suspicion,
Uterine disorders (hereditary)
Spiral removal process
Diagnostic hysteroscopy is performed in the later days of the menstrual period.
What is Operative Hysteroscopy?
Problems detected in diagnostic hysteroscopy can be treated with therapeutic hysteroscopy. In particular, intrauterine septum, polyp, adhesion or myoma are detected and corrected .
What are the risks of hysteroscopy?
Performing hysteroscopy by non-specialist and inexperienced people may increase risk factors. There is a 1% risk of uterine perforation. However, this condition can often resolve itself without the need for treatment.
Allergy may develop due to the fluids used to expand the uterus. Injury to the abdominal organs may occur. The risk of these complications is quite low. Other complications include infection, vaginal bleeding, very severe abdominal pain, fever and foul-smelling vaginal discharge. In such cases, a specialist should be consulted without delay.
What should be the care after hysteroscopy?
After the application, the patient may experience some problems. In particular, increased discharge and abdominal pain are common. In such cases, painkillers can be used with the doctor's advice. These pains are not experienced to the extent that they will disrupt the patient's daily life. The patient should avoid sexual intercourse for a while with the doctor's advice. Otherwise, infection may occur. If a bath is to be taken, it should definitely be done standing up.
In which cases should you consult a doctor?
Some situations in which you should consult a doctor after the application are listed below. If unexpected effects occur other than these situations, you should consult a specialist without wasting time.
Excessive vaginal bleeding
Severe abdominal pain
Fire
If you experience foul-smelling and excessive vaginal discharge, consult your doctor.
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