Why is hysteroscopy done?

Hysteroscopy is applied to detect problems in the uterus during the gynecological examination and to treat congenital anomalies in the uterus. The factors that will need the hysteroscopy method can be listed as follows;

• Congenital anomalies in the uterus
• submucous, myomas
• polyps in the uterus
• abnormal vaginal bleeding
• deformation of intrauterine adhesions
• Examination of the septum in the uterus

Who can apply hysteroscopy?

The people who are suitable for the hysteroscopy method are listed as follows;

• Intrauterine Adhesions: Asherman syndrome, that is, intrauterine adhesions, is one of the most common gynecological diseases in women. After some operations, adhesions occur in the uterus. With hysteroscopy, the existing adhesions in the uterus can be removed and women can be menstruated or become pregnant again.
• Removal of intrauterine devices: IUDs, which prevent pregnancy, can sometimes not be easily removed from where they are. In these cases, the spirals lost in the uterus are easily removed with the help of the hysteroscopy method.
• Heavy menstrual bleeding: In some women, it is observed that there is more bleeding than normal during the menstrual period. With the hysteroscopy method, the cause of this condition is investigated and the treatment method is determined correctly.
• Polyps and Myomas: Among the procedures performed with hysteroscopy is the removal of myomas growing inside the uterus. In addition, it is frequently used for the process of removing polyps in the uterus and investigating whether they are benign or malignant.
• Infertility: Diagnostic Hysteroscopy is the most preferred diagnostic method in women who want to become mothers but cannot become pregnant. In this way, problems that prevent pregnancy in the uterus are detected and treated, and problems that prevent pregnancy are eliminated.
• Recurrent Miscarriages: In women who can get pregnant but miscarry in the first months, hysteroscopy is used to investigate the cause of the problem.
• Recurrent Failure in IVF: In this case, hysteroscopy is also used.
• Operative hysteroscopy: It is also possible to treat diseases diagnosed with hysteroscopy. Hysteroscopy is especially helpful for intrauterine adhesions, polyps, myomas, septums dividing the uterus into two, and ablation. The treatment of all these disorders can be done precisely with hysteroscopy.

How is hysteroscopy performed?

The hysteroscopy procedure is performed for two different purposes and in two different ways, diagnostic and operative. During these applications, the patient’s cervix is enlarged. It is necessary to ensure the sterilization of the equipment used during this process and the clinic where the application will be performed in the best way so that any infection situation can be prevented. Hysteroscopy is sent into the uterus through the cervical canal, while special fluid and carbon dioxide are given to the uterine cavity to help visualization. Diagnosis can be made by applying this examination in women with uterine bleeding and anatomical disorders in the uterus. At the same time, operative hysteroscopy is performed during the treatment of problems in the uterus.

Hysteroscopy surgery

When hysteroscopy is performed for operative purposes, this procedure is performed in the operating room. Hysteroscopy surgery performed under general anesthesia is a very risky procedure. For this reason, it must be applied with qualified devices by doctors who are experts in the field. The risk factors of hysteroscopy surgery can be listed as follows;

The fluid and carbon dioxide gas given in the uterus during the procedure causes an allergic reaction.

• Causing ruptures or traumas in the uterus
• Problems that may occur due to anesthesia
• Fluid buildup in the lungs
• respiratory distress

Operative Hysteroscopy: Before Your Procedure

The best time for hysteroscopy is right after the end of the menstrual cycle. Before the procedure, the examinations requested by the doctor must be done correctly. Doctors advise patients not to eat or drink on the day of the procedure. In order for the cervix to open easily during the procedure, it may be necessary to put medication into the vagina 2-3 hours before the procedure or to take medication the night before which is a condition reported to patients by the doctor. Hysteroscopy is a procedure that takes 10-30 minutes in total. During the procedure, local or general anesthesia is preferred according to the joint preference of the doctor and the patient. However, light general anesthesia is generally preferred for this procedure. After the procedure, mild pain, bleeding, and frequent urination are considered quite normal. During the hysteroscopy procedure, if the outside of the uterus needs to be observed and treated, Laparoscopy can also be applied. The laparoscopy procedure is the introduction of gas into the abdomen by opening small holes in the abdomen with the help of a special trocar and a clear observation of the inside of the abdomen.

How do you take care of after a hysteroscopy?

There are some points to be considered after the hysteroscopy procedure, which is used in the diagnosis and treatment of gynecological problems. These can be listed as follows;

• It is considered normal to have vaginal discharge, but in cases where there is intermittent and foul-smelling vaginal discharge, a doctor should be consulted.
• Maximum importance should be given to genital hygiene and care should be taken in public areas.
• Pain control should be done with painkillers recommended by the doctor.
• The patient can return to her daily life within a few days after the process.
• There should be no sexual intercourse during the healing process.
• If your doctor has started hormone therapy, drug use should not be interrupted.
• In hysteroscopy, as in other procedures, the choice of doctor and clinic is of great importance. For this reason, a doctor who is an expert in his field and a clinic that has been sterilized should be preferred.

Frequently Asked Questions About Hysteroscopy

What is hysteroscopy?

Hysteroscopy, which is a diagnosis and treatment method used in women’s health; today, it is frequently applied in a very reliable and comfortable way. The condition of the uterus and ovaries is checked with the hysteroscopy device, which is delivered to the uterus from the vaginal entrance. At the same time, surgical applications needed in these regions can be applied with the hysteroscopy method.

What is Clinical Hysteroscopy?

With this method, also called diagnostic hysteroscopy, anatomical and structural problems in the uterus can be diagnosed. The clinical hysteroscopy method can be performed today without the need for anesthesia.

What is Operative Hysteroscopy?

The use of the hysteroscopy method during surgical operation is called operative hysteroscopy. This method is performed in the operating room and is performed under anesthesia. Operative hysteroscopy can be applied very reliably with today’s technological possibilities.

Which Diseases Are Diagnosed With Hysteroscopy?

The problems identified in the use of hysteroscopy as a diagnostic method can be listed as follows;

• Congenital anomalies of the uterus
• Condition of the tubes
• Post-abortion check-ups
• Controls after operations performed in the uterus
• Diagnosis of cervical anomalies

Which Diseases Are Treated With Hysteroscopy?

Diseases operated by hysteroscopy can be treated as follows;

• Removal of myomas and polyps in the uterus
• Elimination of congenital anomalies in the uterus
• Treatment of abnormal bleeding
• Elimination of problems such as septum or adhesions in the uterus

Do patients have pain after hysteroscopy?

The diagnostic hysteroscopy method is performed in a clinical setting and the level of pain is minimal after this procedure. However, the doctor recommends the use of medication in order to provide pain control after operative hysteroscopy.