Hysteroscopy of the uterus is a method that allows you to examine and, if necessary, cure the uterine cavity. It is performed using an ultra-sensitive instrument - a hysteroscope. The first such operation was carried out in 1869. It was performed with a device that, according to its external data, resembled a cystoscope. Since the introduction of fiber optics into medicine, the possibilities of examining the uterus have expanded significantly. At the moment, hysteroscopy of the uterus is divided into therapeutic and diagnostic.
Indications for diagnostic hysteroscopy:
- If you suspect cervical cancer, endometriosis, fibroids, endometrial pathology, fusion in the uterus.
- Cleaning the walls of the uterus after a diagnostic curettage or abortion.
- Uterine anomaly.
- Bleeding during menopause.
- Irregular menstruation.
- Infertility.
- After treatment with hormone-based drugs.
Also, hysteroscopy of the uterus is used to monitor the condition of this organ after anyoperations and in the pathological inability of a woman to bear a child.
Indications for therapeutic hysteroscopy
- When submucosal uterine fibroids are detected.
- If there is an intrauterine septum or synechia (fusion).
- Polyp or endometrial hyperplasia.
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When removing intrauterine contraception.
treatment after hysteroscopy
Hysteroscopy of the uterus: preparation
Hysteroscopy is a small, but still surgical intervention. Therefore, it requires special preparation, which should include the delivery of blood, urine and vaginal smear tests. It is also necessary to do an electrocardiogram and a chest x-ray. For older women, especially those who are overweight, it is advisable to conduct a blood glucose test.
All examinations can be done both before the patient enters the hospital and during her stay. If hysteroscopy of the uterus is carried out in a planned manner, then on the eve of the operation, a cleansing enema is done.
The best time to examine the uterine cavity is from the 5th to the 7th day of the menstrual cycle. It is at this time that the endometrium is still very weak and bleeds a little. In emergency cases, such as severe bleeding, the time of the operation does not matter.
How a hysteroscopy of the uterus is performed
Hysteroscopy of the uterus is performed under intravenousanesthesia, in which the cervix is anesthetized to open it. Then a sterile glucose solution is fed into the cavity, after which the hysteroscope is inserted into the vagina and advanced through the cervix. At the tip of the instrument there is a light bulb and a camera, with the help of which the gynecologist sees everything inside the uterus on the screen. If necessary, a manipulator is introduced, which, with the help of current, removes the focus of the disease.
After surgery
After a hysteroscopy, a woman may feel spasmodic pain (reminiscent of menstruation) and a slight malaise, which in most cases disappears after 10 hours. If these sensations do not pass after the specified time, then the gynecologist prescribes treatment after hysteroscopy in the form of painkillers. To prevent the inflammatory process, at the discretion of the attending physician, a weekly course of antibiotics is prescribed.
