What is meant by hysteroscopy?
Doctors in Turkey insert a speculum through the vagina so that they can look inside the uterus.
The endoscope is a thin tube with a camera attached to its end and is characterized by that it can be easily inserted without any need to make any cuts in the skin through the opening of the uterus and vagina.
The images captured by the camera appear on a screen in front of the doctor or specialist who performs the hysteroscopy.
- The hospital stay is short.
- The patient does not need prolonged and heavy anaesthesia.
- The pain after the operation is minimal and does not require a lot of analgesics.
- A single intervention to diagnose, examine and treat existing problems.
- The technique reduces the chance of uterine adhesions and fibrosis when endometrial curettage is performed.
- Avoid hysterectomy without an accurate diagnosis.
Hysteroscopy plays a major role in treating infertility cases caused by infections and fibrosis in the uterus.
where they appear Study 41.9% of endometriosis patients who were infertile were able to get pregnant after using hysteroscopy without the need for ICSI.
1. Diagnostic hysteroscopy process
To be able to insert the hysteroscope tube and look from the outside into the fallopian tubes and ovaries, which helps him to know the presence of any diseases or problems in the tubes or fibrosis around the uterus.
Or by performing an endoscopy from below without any incision in the woman's abdomen. This helps in detecting any tumors or diseases in the cavity and endometrium or cervix and also helps to take samples of foreign tissue for study and examination.
2. Therapeutic hysteroscopy
The specialist in charge can treat the problem immediately as soon as it is diagnosed, as he performs the surgical intervention in the same operation so that the patient is not exposed to the procedure twice.
What are the reasons for using a hysteroscope?
- Bleeding after menopause.
- The presence of abnormal and large amounts of bleeding from the uterus, especially after the end of the menstrual period.
- Performing a uterine biopsy from the cervix, and the result indicates the presence of tumors or abnormal tissues.
- Knowing the causes of infertility, delayed childbearing, or recurrent miscarriage.
- Examination and removal of fibrosis, cysts or benign tumors in the lining of the uterus.
- Finding and removing the IUD when it is incorrectly implanted and lost in the uterine cavity.
- Endometrial biopsy or Tumors.
- Curettage of the thickened inner layer of the uterus, if satisfactory, and removal of adhesions.
What are the steps for a hysteroscopy procedure in Turkey?
Before starting to insert the endoscope, the doctor prescribes sedative and sedative medications in order to be relaxed and not feel any pain.
- It is necessary to facilitate the entry of the speculum tube through the cervix, so it must be expanded first to open it easily.
- Your doctor inserts the hysteroscope from the vagina, through the cervix, and then into the uterine cavity.
- The uterus must be filled with carbon dioxide gas or a liquid may be pumped, so that the vision becomes clear and any adhesion is opened.
- During the endoscopy, the doctor is interested in examining the uterine wall and is keen to take pictures and videos of what he finds. The endoscope also allows taking samples for laboratory examination.
- Sometimes it may be necessary to visualize the uterus from the outside using a laparoscope.
- If benign tumors or internal fibrosis and adhesions are found, then your treating doctor can remove the tumor, especially the benign fibroids in the uterine wall from the inside.
“You can learn about the treatment of adenoma (adenoma) by catheterization without surgery”
- The complex hysteroscopy for treatment and diagnosis takes about 30 minutes, but for diagnosis, it does not take longer than 10 minutes.
- After completion, the tube is withdrawn and the patient is advised to go home with a family member if she is given anesthetic.
What are the side complications when imaging endoscopy?
- Feeling some pain and cramping in the abdomen.
- Simple vaginal bleeding that may last for two days.
- Feeling of discomfort or pain in the shoulders as a result of gas retention inside the body.
What are the risks associated with the use of hysteroscopy?
- Damage to the lining of the uterus or perforation of its wall, which may require emergency surgery and the use of antibiotics, but this is rare.
- Damage to the cervix or bladder due to an error during the insertion of the tube, and this is also rare and you can avoid it by choosing the best gynecologists in Turkey.
- Infections in the genital tract, which are accompanied by some vaginal secretions with an unpleasant smell and high temperature.
This problem is addressed through the use of antibiotics.
- Loss of consciousness when the endoscopy was performed and the patient was not numb at all or a local anesthetic was used.
This happens to one woman in every 200 cases, and this is a result of her fear or intolerance of the pain of dilating the cervix.
- Heavy bleeding during the hysteroscopy procedure or after it is completed and the device is removed.
Is hysteroscopy painful?
How is the recovery after the work of diagnostic and therapeutic hysteroscopy?
If the full anesthetic is given, the patient is advised to rest and return to activities after a day.
- Eat and drink as usual.
- You may feel contractions similar to menstruation, in addition to some blood coming out, and this is normal and does not indicate a serious problem.
Refer to the attending physician if you lose blood in large quantities.
- Avoid sexual intercourse or using a lotion in the genital area until two weeks after the endoscopy to reduce the chance of exposure to bacterial infection.
- Refer to the gynecological surgeon in charge of your case in the clinic to discuss the outcome of the laparoscopy and the optimal treatment.