Hysteroscopy

Hysteroscopy is a procedure that allows the doctor to examine the inside of the uterus to check for problems that may affect female fertility.

It is done using a thin tube outfitted with a light and camera. This telescope-like tube is called a hysteroscope. It is passed into the uterus through the cervix and vagina; from there it relays images to a computer screen. This is usually accomplished without making any incision in your skin.

Hysteroscopy is often used to diagnose and sometimes treat causes of abnormal bleeding and other conditions that can hinder fertility or interfere with pregnancy.

Like laparoscopy, hysteroscopy can be either diagnostic or operative.

Diagnostic Hysteroscopy

As the name suggests, diagnostic hysteroscopy is used to look for problems in the uterus or womb. It is commonly used when a woman has recurrent miscarriages or when the result of an ultrasound indicates a possible fibroid or polyp.

We may also use it to check the authenticity of other test results such as HSG (hysterosalpingography). 

HSG is commonly used to look for blockages or scarring in the uterus and fallopian tubes. Hysteroscopy can be used to confirm the result obtained from an HSG test.

We may also perform diagnostic Hysteroscopy before a D&C (dilation and curettage) procedure.

Operative Hysteroscopy

If the result of a diagnostic hysteroscopy shows a problem in the uterus, operational hysteroscopy might be performed to correct it. This eliminates the need to undergo another surgery.

During the procedure, some tiny instruments are inserted through the hysteroscope to perform the operation. The area is then distended with fluid such as sterile saline or carbon dioxide. This allows the doctor to get a better view of the uterine cavity. 

We may use local anaesthetic to numb the cervix during the procedure. General anaesthetic may also be applied if you prefer to be asleep while undergoing the treatment.

The entire process is short and most often patients can go home on the same day.

After hysteroscopy, patients may experience minor discomfort or spotting. You should be able to go back to your normal daily work in a few days.

We also advise patients to avoid sex for at least 24 hours after their treatment.

How Can Hysteroscopy Help You

Here are some cases where hysteroscopy can be useful:

• Fertility related diagnosis: hysteroscopy may be used to look for the causes of infertility in the uterus. Some of these include scarring of the uterus, adenomyosis, uterine polyps, submucosalmyomas, bicornate formulation, and congenital abnormalities
• Investigate Symptoms: problems like unexplained vaginal bleeding, pelvic pain, and heavy periods, can be diagnosed using hysteroscopy
• Diagnose medical conditions: hysteroscopy can also be used to diagnose medical conditions in the womb such as polyps and fibroids
• Treat Fertility Problems: hysteroscopy may also be used to treat various fertility problems and conditions. Some of these include intrauterine adhesions, polyps, and fibroids

Generally, if you’ve experienced repeated miscarriages or have a hard time getting pregnant, then your doctor will most likely recommend hysteroscopy.

How Can We Help?

At Archish IVF, we place very high value on the safety and comfort of our patients. Our team consists of veteran clinicians and fertility experts who are compassionate and perform both diagnostic and operative hysteroscopy with minimal discomfort to patients. We want to do everything possible to help you realize your dream of having a child.