The Procedure of Hysteroscopy For Infertility

Hysteroscopy is used to know the cause and treat abnormal uterine bleeding and to treat infertility. In this procedure, your surgeon will take an inside look at your uterus through a tool called a hysteroscope. It is a thin, light tube inserted into the uterus via the vagina to examine the cervix and the inner condition of the uterus. Hysteroscopy can be a diagnostic and treatment procedure.

 

Know about diagnostic hysteroscopy surgery.

This procedure discovers the uterus's structural irregularities, possibly causing abnormal bleeding. This procedure can also confirm the outcomes of other tests like hysterosalpingography (HSG) or ultrasound. Through HSG, doctors check the blockage in your fallopian tube. In the case of a blocked fallopian tube, it becomes difficult for a woman to become pregnant.

 

Know about operative hysteroscopy.

In case of any abnormality detected during hysteroscopy, your surgeon can treat it through operative hysteroscopy. Under this procedure, both diagnostic and operative surgeries are performed simultaneously to avoid the requirement of a second surgery. In operative hysteroscopy, the surgeon will use a tool device to remove abnormalities causing abnormal bleeding.

 

Why should you need a hysteroscopy?

Hysteroscopy determines and treats conditions responsible for abnormal bleeding, irregular spotting, heavy menstrual bleeding, or bleeding after menopause.

 

Below-mentioned conditions can be treated through hysteroscopy:

• Polyps and fibroids: Polyps is a uterine abnormality in the uterus that can be removed through hysteroscopy polypectomy. Removal of fibroids is called hysteroscopy myomectomy.
• Adhesions: These are scar tissues that can be formed in the uterus, which may result in changes in menstrual flow, leading to infertility. Through hysteroscopy, doctors can find out and remove the adhesions.
• Septums: Through hysteroscopy, your doctor can know the presence of any malformation (defect) in your uterus, which usually remains from birth.

 

Hysteroscopy can also be used to:

• Diagnose the reason behind fertility issues and frequent miscarriages.
• Locate an intrauterine device (IUD)
• Remove the placental tissue after birth.

 

Who can undergo a hysteroscopy?

Your doctor will check your medical history to examine your current health and determine whether hysteroscopy suits you. Although hysteroscopy has multiple benefits, it is not ideal for everyone. For instance, you can’t undergo hysteroscopy if:

• You are pregnant
• Have a pelvic infection.

 

When is hysteroscopy done?

In case of irregular periods, your doctor may suggest a hysteroscopy, which will happen in the first week once you stop bleeding. This timing will give the best view of your uterus. Such hysteroscopy fertility treatment can help you regulate your menses and thus enhance your chance of becoming pregnant.

 

Procedures before hysteroscopy

Your surgeon will ensure your eligibility for hysteroscopy. He will inform you about the complete procedure and answer all your queries. There will be specific instructions mentioned below that you need to follow.

• He will study your medical history and ask you about the supplements you are taking, like any medications, vitamins, etc. Before the procedure, you must stop taking medications like aspirin that prevent blood clotting.
• You will undergo medical tests like pregnancy tests and pelvic exams. You need to do a blood test or other diagnostic test as suggested by the doctor.
• Your doctor will let you know the clothes you need to wear during the procedure, whether you need to fast before the process or someone to drive home after the hysteroscopy.

 

Procedure during hysteroscopy

On the day of the procedure, you need to empty your bladder and wear a hospital gown. Your doctor may give you anesthesia to help you relax. You will be told to lie down on the exam table with your legs in stirrups. Once you are set in that position, your doctor will:

• Do the pelvic exam.
• Open the cervix to insert the hysteroscope.
• Insert the hysteroscope into the uterus through the vagina and cervix.
• He will send liquid into your uterus through the vagina to expand and clear any mucus or blood. Through this process, your surgeon can see your uterine lining, uterus and fallopian tube.
• Examine your fallopian tube and uterine cavity. Because of light through the hysteroscope, your doctor can get a clear view. Such a procedure is also done during hysteroscopy for infertility. 
• Insert surgical instrument to remove unwanted abnormalities. 

The entire procedure can last from 5 minutes to an hour. The duration depends on whether the system is operative or diagnostic and whether any other process, like laparoscopy, is done simultaneously. It usually takes less time for diagnostic hysteroscopy as compared to operative hysteroscopy. But the entire procedure requires utmost precision; hence, you must contact ivf center in Rewari center to get the best treatment.

 

Will you be awake during a hysteroscopy?

It depends on the type of anesthesia you will receive. Your anesthesia can be local, regional, or general.

• Local Anesthesia: A small part of your body will be numb for a short duration.
• Regional Anesthesia: A more significant portion will remain numb for a long time.
• General Anesthesia: Your complete body will be numb during the entire surgery. 

In general anesthesia, the patient cannot eat or drink for a particular duration before hysteroscopy.  

 

Conclusion

You will understand the process clearly from your surgeon if he suggests you undergo a hysteroscopy. It is better to choose the best fertility clinic to get effective treatment.