Histeroskopia

Histeroskopia

Hysteroscopy is an endoscopic procedure that is the gold standard in the assessment of the endometrial cavity, ie the inside of the uterus where the embryo is implanting and the developing pregnancy is hosted. During hysteroscopy, a thin camera, the hysteroscope, passes through the vagina and cervix into the endometrial cavity, which is distended using normal saline. In this way it is possible to visualise the endocervical lumen, the endometrial cavity and the openings of the fallopian tubes (ostia). It is clearly superior to both the ultrasound and the imaging of the endometrial cavity during Hysterosalpingography.

What are the indications for hysteroscopy?

  • Repeated failed IVF attempts
  • Recurrent miscarriages
  • Suspected endometrial polyps
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What is scratching?

Scratching is a method of rejuvenating the endometrial lining through its mild injury.

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When should hysteroscopy be performed?

Hysteroscopy is preferably performed between days 6 and 12 of the cycle, during the follicular phase, after the end of menses, with or without the use of oral contraceptive pill.

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How is it done?

How is it done?The procedure can be performed with or without anesthesia and lasts from 5-15 minutes. In case you receive anesthesia, you will be mildly sedated and you will be asked to perform the relevant preoperative check and to avoid any food and water for at least 8 hours before the operation.

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What are the possible complications?

Complications are very rare. Some low intensity, low abdominal, cramping pain is expected as well as mild vaginal bleeding for the first few days.

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Instructions to follow after hysteroscopy?

After the completion of the hysteroscopic procedure you will be transferred back to your room where you will remain for about 1h, for monitoring, until the effects of sedation wear off.

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