Hysteroscopy of the uterus: reviews, consequences, contraindications

Today, one of the most common studies in gynecology is uterine hysteroscopy. Patient reviews about this procedure are positive. Because it is informative, safe and painless.

This manipulation, if necessary, goes from a diagnostic study to an operation. Detected pathologies are immediately deleted. Rigid hysteroscopy is performed under general anesthesia, since it is necessary to expand the cervical canal.

During flexible or office hysteroscopy, the patient is conscious and can observe the operation on the monitor screen. This type of study does not require the expansion of the cervical canal.

During the study, a hysteroscope is inserted into the uterus and its walls are examined. It takes about 15 minutes. Hysteroscopy can detect pathologies such as synechia, septum, adenomyosis, polyps, fibroids, hyperplasia and endometrial cancer.

Typically, women who are first assigned this study are very worried. When he performed hysteroscopy of the uterus, the reviews are mostly positive. Of course, a lot depends on the professionalism of the gynecologist-surgeon and anesthetist.

Complications after this manipulation are rare. However, to minimize their likelihood, you need to go through research in front of her:

  • vaginal ultrasound;
  • analysis of urine and blood;
  • biochemistry;
  • smear on flora and AK;
  • ECG (especially for women over 40);
  • screening for hepatitis, HIV, syphilis;
  • FLU;
  • blood sugar, coagulability, Rh factor, group.

In addition, there are a number of contraindications to the study:

  • inflammation in the genitourinary organs;
  • infectious disease (pyelonephritis, flu);
  • severe uterine bleeding;
  • developing pregnancy;
  • severe diseases of the kidneys, liver, heart;
  • stenosis or cervical cancer.

Hysteroscopy of the uterus consequences:

  • endometritis (inflammation of the endometrium) occurs as a result of infection in the uterus;
  • uterine perforation (perforation of its wall with a hysteroscope);
  • uterine bleeding.

After the procedure, there may be spotting and pain for several days. But severe bleeding, pain, fever, chills - this is an occasion to immediately consult a doctor.

To prevent complications, the doctor prescribes antibiotics for 5 days. Abstinence of 3 weeks is also recommended if there were surgical interventions. If there were none, then you can limit yourself to a few days.

One of the most comfortable and safe manipulations in gynecology is hysteroscopy of the uterus. Reviews of patients and observations of specialists allow this to be confirmed.

The study is carried out under general anesthesia, so you can’t drink and eat 8 hours before it. It is necessary to take a bathrobe, slippers, bedding, pads, diaper with you. You can start drinking and sitting down one hour after the intervention, after two - eat and get up, and after three - go home.

When hysteroscopy is recommended:

  • endometrial polyp and / or cervical canal;
  • infertility;
  • dysfunctional bleeding;
  • miscarriage;
  • uterine bleeding in menopause;
  • installation of the Navy;
  • adenomyosis;
  • myoma;
  • developmental abnormalities (one-horned, two-horned uterus);
  • cycle disturbances;
  • endometrial cancer.

Today, more often, under the control of hysteroscopy, diagnostic curettage and abortion are performed. This reduces the morbidity and increases the effectiveness of interventions.

The time for hysteroscopy is determined by the doctor. It depends on the preliminary diagnosis and the need for surgical intervention. For example, when planning a curettage it is carried out on the eve of menstruation. If hysteroscopy is only diagnostic, then it is usually performed after menstruation.

Thus, hysteroscopy of the uterus, reviews of which are positive, is one of the most comfortable, painless and safe gynecological diagnostic and surgical interventions. Following the recommendations of a doctor will help reduce the likelihood of complications.


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