Hysteroscopy means viewing the inside of the uterus and the part of the tubes opening into the uterus with the help of a camera, by entering through the natural opening in the cervix. Office or operative are the 2 different types of hysteroscopy. This procedure is performed for the purpose of correcting the intrauterine curtain, that is, the septum, which is a congenital anomaly of the uterus, removal of formations such as uterine fibroids or polyps that press into the uterus, and the treatment of intrauterine adhesions.
How is the Application of Hysteroscopy Procedure?
A device called a hysteroscope having a camera at the end enters the uterus in Hysteroscopy procedure. This device is large enough to pass through the natural opening in the cervix through which menstrual blood flows. Thus, there is no requirement to make an incision to the uterus and the inside of the uterus can be viewed with the help of the camera at the tip, and if an observation of pathology is made in the uterus in the same session, corrective operations can be performed into the uterus with tips such as scissors and resectoscope, which can be integrated into the device.
In Which Situations Is Hysteroscopy Applied?
Office Hysteroscopy is a kind of general screening that takes approximately 10-15 minutes. A clear view of the inside of the uterus is provided and the pathologies can be noticed if there is any. The intrauterine problem that the patient may have can be treated in this way or by operative hysteroscopy. Conditions that can be treated with hysteroscopy include the following;
- Endometrial polyp,
- Submucous fibroids originating from the uterus or fibroids pressing on the inner lining of the uterus,
- Adhesions formed on the intrauterine wall,
- Uterine septum,
- If the intrauterine device (spiral) thread could not be seen in the vaginal examination
What aspects should the patient pay attention to after the hysteroscopy procedure?
Resting for a short time to return home will be enough for patients who have undergone hysteroscopy. In the first few days, mild groin pain may be seen that can be controlled with painkillers, and a small amount of vaginal bleeding may be experienced, similar to the one on the last days of menstruation. In order to avoid infection and pain, it is recommended not to have sexual intercourse and not to enter the sea or pool for 7-10 days. It is sufficient to rest on the day of the procedure. You can return to daily life or work the next day.
What kind of risks can be observed in the hysteroscopy procedure?
A risk of perforation may be possible in the uterus in inexperienced hands, especially during operative hysteroscopy for removal of uterine septum, adhesions or fibroids. However, there is not any risk in experienced hands. Heavy bleeding or infection may develop very rarely.
Thus, consulting specialist doctors and getting their opinion, and evaluating the necessity of the procedure and the risks in detail will be important before performing hysteroscopy.
What are the Advantages of Hysteroscopy Method?
- Treatment of the problems related to the inside of the uterus can be done by entering the uterus through the vaginal route without making an incision to the abdomen and uterus.
- Very little pain is felt after the operation. Recovery time is very short.
- The patient can return to her daily life after resting for 1-2 hours.
- Spontaneous pregnancy or IVF treatment can be started 1-2 months after the procedure.