Office hysteroscopy without anesthesia
A thin 3-5 mm hysteroscope is inserted into the uterine cavity without bullet forceps or dilators - using the vaginoscopy technique, which makes the procedure tolerable without anesthesia for most women; If desired, local anesthesia is used. The doctor examines the cavity on the screen, takes a photo, takes a biopsy from the changed areas, removes small polyps up to 1 cm with forceps through the hysteroscope channel. The method is optimal for examination for infertility and before IVF, if a polyp or endometritis is suspected, for monitoring after treatment. For large formations, severe pain, or the inability to pass through the canal, hysteroscopy with anesthesia is performed.
Indications
- suspicion of endometrial polyp or submucous fibroid by ultrasound;
- abnormal uterine bleeding, endometrial hyperplasia, bleeding during menopause;
- infertility, unsuccessful IVF attempts, recurrent miscarriage - cavity assessment;
- intrauterine synechia (fusion), septum, developmental anomalies;
- remnants of the fertilized egg, control after curettage, search for an IUD;
- control after uterine surgery.
Advantages of the method
Hysteroscopy is the “gold standard” for assessing the uterine cavity: unlike ultrasound, the doctor sees the endometrium directly with magnification, identifies polyps from 1-2 mm, synechiae, foci of chronic endometritis, accurately takes a biopsy from the changed area, and not “blindly”. Thin modern hysteroscopes allow the examination to be performed on an outpatient basis without expansion of the canal and anesthesia (office hysteroscopy) with minimal discomfort. If large polyps, fibroids, or septum are detected, therapeutic hysteroresectoscopy is performed.
