Diagnostic hysteroscopy
6000.00 MDL
Diagnostic hysteroscopy is a minimally invasive procedure that allows direct examination of the uterine cavity using a hysteroscope (a thin, illuminated instrument). The procedure provides information about the uterine structure and helps identify any abnormalities or conditions.
Indications / Purpose
- Investigation of abnormal uterine bleeding
- Detection of polyps, uterine fibroids, or intrauterine adhesions
- Evaluation of infertility and recurrent pregnancy loss
- Monitoring after uterine surgical procedures
Procedure / Duration
- Performed in a specialized clinic or procedure room
- No general anesthesia required (local anesthesia or light sedation may be used if indicated)
- The hysteroscope is introduced through the cervix to visualize the uterine cavity
- Duration: 10–20 minutes
Contraindications
- Active infections of the genital tract
- Confirmed pregnancy
- Severe bleeding disorders or other conditions that prevent the procedure
Recovery / Limitations
- Rapid recovery; the patient can return to daily activities within a few hours
- Possible temporary effects: abdominal discomfort, light bleeding, or cramping
Advantages / Benefits
- Direct and precise visualization of the uterine cavity
- Rapid and accurate diagnosis of uterine conditions
- Minimally invasive procedure with low risk of complications
- Can guide potential subsequent therapeutic interventions
Sources:
https://emedicine.medscape.com/article/1848258-overview?form=fpf
https://www.nhs.uk/tests-and-treatments/hysteroscopy/
https://aagl.org/wp-content/uploads/2023/05/aagl-patient-information-sheets-all.pdf
Pregătirea:
Before the procedure:
- Schedule the examination, usually within the first 7–12 days of the menstrual cycle, when the uterine lining is thin and visibility is optimal.
- Inform your doctor about any chronic diseases, previous surgeries, medications, or known allergies.
- You may be advised to undergo preliminary tests: pregnancy test, complete blood count, coagulation panel, vaginal/cervical swab, transvaginal ultrasound.
- Avoid sexual intercourse, vaginal douches, tampons, and vaginal suppositories for 48 hours prior to the procedure.
On the day of the procedure:
- If the procedure is performed under anesthesia, follow the instructions regarding food and fluid restriction (usually 6–8 hours before).
- Wear comfortable clothing and bring sanitary pads, as minor discharge may occur after the examination.
After the procedure:
- Mild cramping and light bleeding may occur for 1–2 days.
- Avoid sexual intercourse, swimming pools, and saunas for 3–5 days or as instructed by your doctor.
- Contact your doctor immediately if you experience fever, severe pain, or heavy bleeding.
