Hysteroscopy
What is hysteroscopy?
Hysteroscopy is an endoscopic method that allows us to perform an examination and various surgical procedures by entering directly into the uterine cavity. Hysteroscopy can be diagnostic and operative.
When is hysteroscopy done?
Hysteroscopy is an important part of the examination of sterility, recurrent miscarriages and / or abnormal uterine bleeding. It is an intervention that uses a hysteroscope that is inserted through the vagina and cervix into the uterine cavity. Modern hysteroscopes are so thin that they pass through the cervix without dilating it. The inside of the uterus consists of two sheets of endometrium (uterine mucosa) that are glued together. In order to see each other, they have to be separate, and this is usually done by inserting liquid between them.
Hysteroscopy is usually performed immediately after menstrual bleeding, because then it is easiest to see the inside of the uterus.
Types of hysteroscopy
Diagnostic hysteroscopy is used to examine the inside of the uterus, the presence of septum and / or adhesions, polyps, fibroids or other abnormalities
Surgical hysteroscopy is often just a continuation of the diagnostic. It is an intervention in which changes (growths, polyps, myomas) are surgically removed, as well as the removal of tissue barriers that disrupt the normal shape of the uterus and thus prevent conception, normal pregnancy, or some other menstrual disorders.
Also during hysteroscopy a clip can be taken - a biopsy that can be further examined pathohistologically and microbiologically, the results of which may be important during sterility problems.
Does hysteroscopy increase the chance of success of IVF treatment?
Hysteroscopy is recommended in the treatment of infertility when clinical, ultrasound, or HSG findings suggest changes within the uterine cavity.
Many experts use hysteroscopy as the first choice in diagnosing changes in the uterus.
Hysteroscopy can diagnose small changes within the uterine cavity, which can affect fertility, much more accurately than ultrasound.
One of the first steps in infertility treatment is to assess the shape and regularity of the uterine cavity. Uterine changes such as fibroids, endometrial polyps, intrauterine adhesions, or anomalies can cause infertility by interfering with proper implantation and embryo growth.
Hysteroscopic treatment of these intrauterine changes is thought to be associated with better infertility treatment success.
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