Hysteroscopy

In order to examine the uterine cavity in detail, the gynecologist inserts a special device through the cervix - a hysteroscope. In this way, the surgeon examines the uterine mucosa for the presence of various pathologies or abnormalities.

Before the procedure, the doctor may prescribe a sedative to help the patient relax, after which preparations for anesthesia take place.

The procedure itself takes place in the following order:

A hysteroscope (a long, thin tube with a light and a camera) is inserted into the uterus - the patient may experience cramping and some discomfort as it passes through the cervix. The camera sends pictures to the screen so that the doctor or nurse can see any abnormalities. At the same time, the cavity is filled with a sterile solution for a qualitative review and evaluation of the endometrium, the fallopian tube orifice, and the cervical canal.

In combination with the light passing through the device, it helps the doctor to make a detailed diagnosis of the organs. Then prescribe treatment and, if necessary, perform an operation. To do this, instruments are inserted into the uterus through the hysteroscope.

The time required to perform a hysteroscopy can range from a few minutes to several hours. The duration of the procedure for hysteroscopy of the uterus depends on the purpose for which it is carried out. It can only be diagnostic or surgical, for example, an additional procedure is performed simultaneously with it - laparoscopy, removal of small benign tumors in the uterus, removal of polyps.

Indications for holding:

  • Identification of the cause of irregular periods or heavy bleeding.
  • Infertility
  • Presence of polyps, uterine fibroids.
  • Presence of intrauterine adhesions.
  • Suspicion of abnormal development of the uterus.
  • Pathologies, including synechia, endometrial hyperplasia. .
  • Pain during intercourse.
  • Miscarriage, with normal conception.
  • Removal of a lost IUD, etc.

Contraindications:

  • Pelvic organ infection.
  • Pregnancy.
  • Oncology.
  • Heavy bleeding.

Compared to other, more invasive procedures, hysteroscopy has the following features:

  • Minimum hospital stay.
  • Short cooldown.
  • Minimum need for painkillers.
  • Avoiding hysterectomy.
  • Possibility of opting out of "open" abdominal surgery.

How safe is hysteroscopy?

Hysteroscopy is a relatively safe procedure. However, as with any surgical procedure, complications are possible. With hysteroscopy, complications occur in less than 1% of cases and may include:

  • Risks associated with anesthesia.
  • Infectious diseases.
  • Heavy bleeding.
  • Intrauterine scarring.
  • Allergic reactions.
  • Injuries to the uterus and other internal organs.

What to expect after hysteroscopy?

After the procedure, you may have cramps, slight vaginal bleeding (approximately the amount of blood during a period) for one to two days. There is also often weakness or nausea.

See your doctor immediately if you experience the following symptoms:

  • Infections and inflammatory processes in the pelvic organs.
  • Severe abdominal pain.
  • Profuse discharge, bleeding.

Hysteroscopy usually does not require a hospital stay, except in an emergency. This means that you usually do not need to stay in the hospital overnight, unless there are complications.

We perform hysteroscopic operations in Moscow using new and modern equipment, but due to the nature of the method, rehabilitation may take up to several weeks or more.

Within 24 hours after hysteroscopy, you can not:

  • Drive or operate heavy machinery.
  • Practice exercise.

Anesthesia for hysteroscopy can be local, regional or general. The type of anesthesia used is determined by where the hysteroscopy will be performed (hospital or doctor's office) and whether other procedures will be performed at the same time. Under general anesthesia, you will be required not to eat or drink for a certain amount of time before the hysteroscopy.

Hysteroscopy will be able to determine which patients may need to go to the operating room and which need to undergo appropriate therapy. According to statistics, almost 60% of women who underwent diagnostic hysteroscopy were able to avoid the need for surgical intervention. Even in cases where there is an established or suspected anatomical abnormality (such as polyps or fibroids), diagnostic hysteroscopy can help the physician make a more accurate diagnosis, which is of great importance for optimizing surgical planning.

How to prepare for the procedure

When appointing a suitable time for examination with a hysteroscope and assessing the condition of the tissues in the vagina and uterus, the doctor takes into account the characteristics of the patient's menstrual cycle, choosing the most informative day.

You must fast (do not eat or drink) for at least 6 hours before the procedure. Your doctor will advise you if you should take your usual medications on the day of your procedure. You may be asked to take pain medication an hour before the procedure.

It is recommended that you wear loose, comfortable clothing upon arrival for your procedure, as you will be asked to remove all clothing below the waist and change into a hospital gown for the procedure.

Before the procedure, you should empty your bladder, remove all jewelry, as well as dentures and lenses.

You may bring a friend or relative with you for support, although they may not be allowed inside during the hysteroscopy.

In the case of anesthesia, appropriate preparation will be required, including a general blood test, a smear for flora, and a consultation with an anesthesiologist.

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Specialists

All specialists
Kappusheva
Laura Magomedovna

Deputy chief doctor in gynecology, obstetrician-gynecologist

Doctor of Sciences, PhD, professor

Kamoeva
Svetlana Viktorovna

Deputy Chief Physician for Obstetrics and Gynecology, obstetrician-gynecologist

Doctor of Sciences, PhD, professor

Pivovarova
Svetlana Victorovna

Head of the outpatient department, gynecologist, endocrinologist

PhD

Makarischev
Alexei Yakovlevich

Obstetrician-gynecologist

PhD

Shevchuk
Alexei Sergeyevich

Oncogynecology consultant, obstetrician-gynecologist

PhD

Chernaya
Oksana Yuryevna

Obstetrician-gynecologist

Mukhina
Elena Valeryevna

Obstetrician-gynecologist

Manukyan
Lusine Andranikovna

Obstetrician-gynecologist

PhD

Pegova
Maria Romanovna

Obstetrician-gynecologist

Kalmykova
Natalya Vladimirovna

Obstetrician-gynecologist

PhD

Zarubenko
Natalya Borisovna

Obstetrician-gynecologist

PhD

Shilina
Elena Alexandrovna

Obstetrician-gynecologist

PhD

Smirnova
Angelica Yuryevna

Obstetrician-gynecologist, endocrinologist

PhD

Sargsyan
Anna Vartanovna

Obstetrician-gynecologist

Breusenko
Valentine Grigoryevna

Gynecologist obstetrician

Doctor of Sciences, PhD, professor

Ibragimova
Zarema Almanovna

Obstetrician-gynecologist

PhD

Dukhina
Tatiana Alexandrovna

Obstetrician-gynecologist, ultrasound specialist

PhD

Gromova
Maria Arturovna

Obstetrician-gynecologist

PhD

Sirotinina
Maria Vasilievna

Obstetrician-gynecologist, gynecologist-endocrinologist, ultrasound diagnostics doctor

Grishin
Igor Igorevich

Obstetrician-gynecologist

Doctor of Sciences, PhD, professor

Gomov
Mikhail Alexandrovich

Consultant in oncogynecology, obstetrician-gynecologist

Omarov
Nabi Sultan-Muradovich

Doctor of Sciences, PhD, professor

Ibragimova
Jamilya Magomedovna

Obstetrician-gynecologist

PhD, Docent

Kashoyan
Anna Robertovna

Obstetrician-gynecologist, ultrasound diagnostics doctor