Hysteroscopy For Fertility Treatment

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Overview Hysteroscopy

The hysteroscopy procedure is a safe, highly effective procedure that treats many gynecologic and obstetrical problems like abnormal bleeding, recurrent abortions, etc. The advantage of this procedure is the direct view inside the uterus;

it also gives space for surgical intervention. Although this procedure is not considered a common method for enhancing fertility treatment, it is still effective for evaluating uterus health.

What is hysteroscopy?

Hysteroscopy is a procedure that allows your doctor to look inside your uterus with a tool called a hysteroscope.

A hysteroscope is a thin, lighted tube that your doctor inserted through your vagina to see inside your uterus.

It may prescribe you to hysteroscopy in many situations. It can be used for surgical or diagnostic purposes.

Diagnostic hysteroscopy

Diagnostic hysteroscopy is used to diagnose problems related to the uterus. It is also used to confirm another test like HSG (Hysterosalpingography), an x-ray test used to check the uterus and fallopian tubes.

Diagnostic hysteroscopy is usually done when you have heavy periods, infertility, and also bleeding after menopause. The procedure is useful to diagnose uterine polyps (abnormal tissue growth in the uterus lining).

Operative Hysteroscopy

Diagnostic hysteroscopy is used to diagnose problems related to the uterus. It is also used to confirm another test like HSG (Hysterosalpingography), an x-ray test used to check the uterus and fallopian tubes.Operative Hysteroscopy is a procedure that includes placing an optical lens inside the uterus to treat disorders through the cervix. An optical lens, also known as a hysteroscope, allows for viewing inside the uterus during surgery while small instruments are passed through the hysteroscope to treat medical conditions.

Hysteroscopy surgery may generally be prescribed when you have polyps and fibroids in your uterus or have infertility or menstrual changes.

When should a Hysteroscopy be done?

As a female having problems with their reproductive organs, your doctor can prescribe you a hysteroscopy.

The ideal goal of hysteroscopy is to find problems and further treat the problem. It can be done to diagnose these conditions:

  • Abnormal bleeding
  • Excessive menstrual bleeding
  • Post-menopausal bleeding
  • Frequent miscarriages
  • Uterine fibroids and polyps
  • Causes of infertility
  • Misplaced IUD
  • Any uterine abnormalities
  • Reason for extreme pelvic pain

Also, it can be done to operate these conditions-

  • To remove scars that combine with tissues inside the uterus and may cause infection. It can lead to infertility or stop periods.
  • To take out the intrauterine device IUD.
  • To get rid of fibroids or polyps growth.
  • To help with the biopsy of tissue inside the uterus to rule out any abnormal growth.

What is the procedure of hysteroscopy?

Usually, this is done by giving local anesthesia during diagnostic hysteroscopy. However, as hysteroscopy surgery, it can be done only under the supervision of a full team of medical professionals under general anesthesia.

Before the procedure: Before the hysteroscopy, your doctor advises you to eat light food the day before surgery. Depending on the situation, general and local anesthesia may be used.

During the procedure: Your doctor will ask you to lie on a table in the operation room. By placing your feet in the stirrups at the end of the exam table, you are in the same position as if you were undergoing a gynecological examination.

The steps of the procedures are:

  • Firstly your doctor examines your cervix with a medical tool called a speculum.
  • Then, your doctor will insert the hysteroscope device into your vaginal opening. They will continue moving the hysteroscope through the cervix then into the uterus (womb).
  • During the insertion of the hysteroscope, a liquid carbon dioxide gas is administered into your uterus thoroughly to clear the surface, which helps to get a clear view inside the uterus.
  • When viewed through the hysteroscope with the camera attached, your doctor can see the openings of the fallopian tubes into your uterus and uterine cavity.
  • If any complications are diagnosed and need surgery to perform, then small instruments are injected into the uterus through the hysteroscope.

The time duration of hysteroscopy can range from 5 minutes to more than an hour, and the time limit can depend on whether it is diagnostic or operative.

Furthermore, diagnostic hysteroscopy takes less time than operative hysteroscopy.

After the procedure: If the procedure is performed in the outpatient setting, you can go home on the same day. However, for operative surgery, you have to stay in hospital overnight or for several hours. Also, you may experience mild cramping pain or discomfort after the procedure. Be a regular follow-up with your doctor for the next 2-4 weeks.

Hysteroscopy and IVF

If you are having treatment of IVF (In-Vitro Fertilization) and having unsuccessful attempts, usually there may be an issue with embryo factors like genetic difficulties and or trouble with your uterus.

In a study, many hospitals and fertility clinics perform hysteroscopy IVF. These procedures are performed on women who have failed attempts at IVF cycles. In this procedure, the doctors look for the uterine growth or scar tissues and remove them with operative hysteroscopy.

Hysteroscopy before the treatment of IVF is essential, and most doctors recommend that also.

Several studies have shown that IVF success stories after hysteroscopy increase a woman's chance of getting pregnant by 20% - 40%.

Moreover, hysteroscopy is a great way to determine whether your uterus is healthy to carry a baby.

What are the benefits of having a Hysteroscopy?

In comparison to other medical procedures, a hysteroscopy provides you with many advantages.

Some of them are here:

  • Hospital stays are shorter in comparison to other operative medical procedures.
  • Less medication is required after the surgery during the recovery period.
  • Avoidance of open abdominal surgery.
  • The recovery time is less than other medical operations or procedures.

When to avoid hysteroscopy?

In some of the females, hysteroscopy may be generally done in the postmenstrual phase of the month.

But females having the following complications should avoid hysteroscopy:

  • When a female is having an active infection of the pelvis
  • A woman who has active cancer of the cervix or endometrium
  • Suffering from allergy to nickel or radioactive contrast dye
  • Women suffering from an inflamed cervix
  • Avoid hysteroscopy during pregnancy

What are the complications of hysteroscopy?

Generally, complications are unusual during hysteroscopy. But in some rare cases, you can observe some of the following issues:

  • An anesthetic reaction with the liquid used to clean the uterus
  • Heavy bleeding may occur after the procedure.
  • Pulmonary edema
  • Uterine perforation
  • Injury to the uterus
  • During operative hysteroscopy, scarring of the uterus tissues may occur.
  • Infection in the uterus or the vagina may occur because of the hysteroscope.

What is the cost of hysteroscopy?

The cost of hysteroscopy in India varies depending on various factors like the consultant doctor charges, a fee for admission to the hospital, medicines, etc.

The average charge of the hysteroscopy procedure is from INR 15000 to 25000. Considering a hysteroscopy procedure? Find out how Crysta IVF can assist!

Crysta IVF focuses on providing comprehensive infertility care through various medical procedures, including ART, laparoscopy, and hysteroscopy, which can assist and enhance fertility.

You will be guided to an effective fertility treatment under the guidance of fertility experts to a reasonable diagnostic and surgical procedure

A procedure like a hysteroscopy requires the expertise of a surgeon as an untrained skill can lead to several complications as well. Also, the cost of hysteroscopy is reliable and doesn't empty your pockets in the name of treatment.

Conclusion-

Taking it all together, hysteroscopy is a critical component of the treatment and diagnosis of several gynecological conditions that affect many women today. It is a minimally invasive substitute for major gynecological procedures.

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Frequently Asked Questions

What is the most common complication of hysteroscopy?

Generally, a uterine perforation (a hole in the uterus wall) is formed because of dilation or hysterectomy.


What should I avoid after hysteroscopy?

Eat a normal diet that should avoid forming constipation in your abdomen. Because after the surgery, your abdomen may be a little sore or constipated. Also, avoid strenuous exercise and heavy-weight lifting after the hysteroscopy.


How painful is hysteroscopy?

Local anesthesia and anesthetic injections will be administered to the cervix during the procedure. So there will be very little pain during the process.


Does a hysteroscopy affect ovulation?

Hysteroscopy may improve the quality of clinical pregnancy as it removes abnormalities present in the uterine cavity. Thus, it increases ovulation indirectly and enhances IVF success stories after hysteroscopy.


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