Hysteroscopy - Know Role Of It In Infertility!

Hysteroscopy is considered as a therapeutic modality and a valuable detection in the management or treatment of infertility. It is a process whereby a doctor checks the uterus cavity to treat the cause of abnormal menstrual bleeding which may be impeding chances of conception. It is performed with the help of a hysteroscope (a thin tube) inserted in the uterus to detect and examine the cervix (lower end of the uterus). Its role has changed and modified over time.

Hysteroscopy is performed to find out certain causes of infertility; which may be:

1. Problem in the size or shape of the uterus.

2. Repeated miscarriages.

3. Endometrial cancer (a cancer of the uterus).

4. Scar tissue in the uterus.

How and when to prepare for hysteroscopy?

1. The best time for hysteroscopy to be carried out is when one is not on her menstruating cycle.

2. Make sure not to insert tampons or use vaginal medicines 24 hours prior to the surgery.

3. An anesthetic will be given to relax you before hysteroscopy.

How is it performed?

The procedure begins with the administration of anesthesia.

1. The cervix will be widened (dilated) by the doctor to insert the hysteroscope.

2. The hysteroscope is then inserted into the uterus through the vaginal tract and the cervix.

3. The uterine cavity is expanded by the usage of carbon dioxide gas. The blood and mucus is then cleared. This is done once the hysteroscope is put into the uterine cavity.

4. The hysteroscope light allows the doctor to see and diagnose the problem in the uterine cavity by observing the openings of the fallopian tubes (tubes through which the eggs travel from ovaries to the uterus).

Expectations after the procedure:

1. You will have to be observed for a few hours before you are allowed to go home.

2. Post-surgery vaginal bleeding or cramping is also common.

3. In case carbon dioxide gas is used in the surgery, mild shoulder pain might be another botheration. However, it should subside within a day or two.

4. It is also completely normal to feel slightly sick or even have a few bouts of fainting.

Certain complications which might require medical attention are:

1. Heavy vaginal discharge or bleeding

2. Acute fever

3. Acute abdominal pain