Hysteroscopy of the uterus is a method that allowsto examine, and if necessary, to cure the uterine cavity. It is performed with the help of a hypersensitive tool - a hysteroscope. The first such operation was carried out in 1869. It was performed with a device, which, according to its external data, resembled a cystoscope. After the fiber optics was introduced into medicine, the possibilities of conducting the examination of the uterus were significantly expanded. At the moment, hysteroscopy of the uterus is divided into medical and diagnostic.
When suspected of cervical cancer, endometriosis, fibroids, endometrial pathology, fusion in the uterus.
Cleaning the walls of the uterus after performing a diagnostic curettage or abortion.
Anomaly of the uterus.
Bleeding during menopause.
Violation of the menstrual cycle.
Infertility.
After treatment with hormone-based drugs.
Hysteroscopy of the uterus is also used to monitor the condition of this organ after carrying out any operations on it and the pathological inability of a woman to bear the child.
Indications for therapeutic hysteroscopy:
When a submucosal uterine myoma is detected.
If there is an intrauterine partition or synechia (splice).
Polyp or endometrial hyperplasia.
When removing intrauterine contraception.
Hysteroscopy of the uterus: preparation
Hysteroscopy is, albeit small, but stilloperative intervention. Therefore, it requires special training, which should include the delivery of blood, urine and vaginal smear tests. Also it is necessary to make an electrocardiography and a roentgen of a thorax. Women of advanced age, especially those who are overweight, it is advisable to conduct a blood test for glucose levels.
All studies can be done as beforethe patient's admission to the hospital, and while staying in it. If the hysteroscopy of the uterus is carried out in a planned manner, then on the eve of the operation a cleansing enema is made.
The best moment for the examination of the cavityThe uterus is considered from the 5th to the 7th day of the menstruation cycle. It is at this time that the endometrium is still very weak and bleeds a little. In emergency cases, for example, with severe bleeding, the timing of the operation does not matter.
Hysteroscopy of the uterus
Hysteroscopy of the uterus is performed under intravenousanesthesia, which anesthetize the cervix to open it. Then a sterile solution of glucose is fed into the cavity, after which the hysteroscope is inserted into the vagina and advanced through the neck. At the tip of the instrument are a light bulb and a camera, through which the gynecologist on the screen sees everything that is inside the uterus. If necessary, a manipulator is introduced, which, with the help of current, removes the focus of the disease.
After operation
After hysteroscopy, a woman canfeel spasmodic pains (reminiscent of menstrual) and a slight malaise, which in most cases occurs after 10 hours. If these feelings do not pass after the specified time, the gynecologist prescribes treatment after hysteroscopy in the form of pain medications. To prevent the inflammatory process, at the discretion of the treating doctor, a weekly course of antibiotic intake is prescribed.
