Should you be afraid of hysteroscopy?
27.07.2015 09:10:00
What is hysteroscopy, what is it used for and when is it prescribed, explains Igor Klyucharov, an obstetrician-gynecologist at the Kazan Clinic Diagnostic and Diagnostic Center: - Hysteroscopy is a method of examining the uterine cavity and cervical canal using a special instrument - a hysteroscope [http://eleps.ru/katalog/gistero_tsistoskopy_/n402718a_ac_s_trubka_opticheskaya_pryamaya_to1_040_300_30_dlya_gistero_i_tsistoskopii_d4_mm_30_grad_/]. The device includes a mini-camera that displays an enlarged image directly on the monitor screen. Thanks to hysteroscopy, the doctor can make a correct diagnosis, see the condition of all tissues, the presence or absence of formations. - What are diagnostic and surgical hysteroscopes [ http://eleps.ru/katalog/gisterorezektoskopiya-gisterooptika/ ] intended for? - Diagnostic hysteroscopes [ http://eleps.ru/katalog/gisterorezektoskopiya-gisterooptika/ ] are used to examine the uterine lining. This allows for a correct diagnosis and minor surgical interventions - removal of polyps, dissection of adhesions and septa, collection of a tissue sample for histological examination - biopsy. Surgical hysteroscopes [ http://eleps.ru/katalog/gisterorezektoskopiya-gisterooptika/ ] are intended for excision of dense adhesions in the uterine cavity, removal of polyps, and deep excision of the uterine lining. A modern hysteroscope combines these two devices in one, connecting the two procedures. - How painful is the procedure? - It is performed with minimal discomfort. The patient can participate in the procedure, observing the progress of the surgery on a monitor screen and discussing the process with the surgeon. The diagnostic procedure lasts 10-15 minutes, while the surgical procedure lasts 10-30 minutes. The patient can go home immediately afterward. Office hysteroscopy is easily tolerated and does not require inpatient observation. It is an alternative to traumatic curettage of the uterine cavity, which the doctor performs blindly. Furthermore, hysteroscopy replaces open surgeries, which were previously performed by incisions through the anterior abdominal wall and uterus. - When is hysteroscopy necessary? - Hysteroscopy is prescribed for the diagnosis of infertility, miscarriage, and menstrual irregularities, especially bleeding. The procedure is also prescribed if uterine pathologies are suspected, such as adhesions, intrauterine nodes, polyps, submucous fibroids, or uterine malformations. Recent studies have proven the benefit of hysteroscopy in the early detection of endometrial cancer. It is also used after abortions and miscarriages to retrieve the remnants of the fertilized egg or remove a placental polyp. Hysteroscopy is also used to remove intrauterine contraceptive devices (IUDs). How is hysteroscopy performed? It is performed on days 5-10 of the menstrual cycle. During the procedure, a small-diameter hysteroscope [http://eleps.ru/katalog/gisterorezektoskopiya-gisterooptika/] – 3.5 mm – is inserted through the vagina into the cervix and then into the cervix. The hysteroscope's compact size and specialized technical techniques allow most surgical hysteroscopies to be performed without anesthesia. However, when deciding whether anesthesia is necessary, the patient's wishes are prioritized. Source: http://www.kazved.ru/article/59051.aspx [ http://www.kazved.ru/article/59051.aspx ] [ http://www.kazved.ru/article/59051.aspx ]