What is hysteroscopy?

Hysteroscopy enables us to collect information about the physiology of the endometrial cavity, as well as the quality of the area where an embryo will be implanted. Additionally, it is used to diagnose and treat metrorrhagia, detect polyp, fibroids, adhesions and any inflammation or scarring that might have a negative effect on fertility.

Unexpected metrorhagia is a clear indication requiring hysteroscopy. Abnormal uterine bleeding may be caused by polyp, myoma, or endometrial cancer. Therefore examining the pathology of endometrial cavity is of primary importance so that any chances of malignancy can be ruled out. Moreover, hysteroscopy is by far more efficacious than hysterosalpingography regarding the detection of diseases affecting fertility, such as adhesions, fibroids or a septum.

In addition, operative hysteroscopy is the right method for fibroids type I, II, III removal, endometrial ablation and assessment of the epithelium.

Complications

Hysteroscopy is a very safe method. There are, however, chances of complications either due to handling of the hysteroscope or as a reaction of the organism to carbon dioxide gas or fluids used as dilators. Common complications of hysteroscopy include:

  • Cervical laceration
  • Uterine perforation
  • Inflammation
  • Hypercapnia
  • Cardiac arrhythmia
  • Hyponatremia

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