HealthMedicine

Hysteroscopy of the uterus: reviews, consequences, contraindications

Today, one of the most common studies in gynecology is hysteroscopy of the uterus. Patients' feedback about this procedure is positive. Because it is informative, safe and painless.

This manipulation, if necessary, goes from a diagnostic study to an operation. The detected pathologies are immediately deleted. Rigid hysteroscopy is performed under general anesthesia, because 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 examination, a hysteroscope is inserted into the uterus and examined by its walls. It takes about 15 minutes. Hysteroscopy can detect such pathologies as synechiae, septa, adenomyosis, polyps, fibroids, hyperplasia and endometrial cancer.

Usually women who are first assigned to this study are very worried. When they performed hysteroscopy of the uterus, the reviews are mostly positive. Of course, very much depends on the professionalism of the gynecologist-surgeon and anesthesiologist.

Complications after this manipulation are rare. However, in order to reduce their probability to a minimum, you need to undergo research before it:

  • Vaginal ultrasound;
  • Analysis of urine and blood;
  • biochemistry;
  • A smear on the flora and AK;
  • ECG (especially for women over 40);
  • Examination for hepatitis, HIV, syphilis;
  • FLU;
  • Blood on sugar, coagulability, Rh factor, group.

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

  • Inflammation in the genito-urinary organs;
  • Infectious disease (pyelonephritis, influenza);
  • 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;
  • Perforation of the uterus (perforation of its wall with a hysteroscope);
  • uterine bleeding.

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

To prevent complications, the doctor prescribes antibiotics for 5 days. Sexual abstinence is also recommended for 3 weeks 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 conducted under anesthesia, so before it 8 hours you can not drink and eat. With a need to take a robe, slippers, bedding, gaskets, diaper. You can start drinking and sitting down an hour after the intervention, after two - eat and get up, and after three - go home.

When hysteroscopy is recommended:

  • Polyps of the endometrium and / or cervical canal;
  • infertility;
  • Dysfunctional bleeding;
  • Miscarriage of pregnancy ;
  • Uterine bleeding in menopause;
  • Installation of the Navy;
  • Adenomyosis;
  • myoma;
  • Developmental anomalies (unicorn, bicorne uterus);
  • Violation of the cycle;
  • Endometrial cancer.

Today, more and more often under the control of hysteroscopy, diagnostic scraping and abortions are carried out. This allows you to reduce trauma and increase the effectiveness of interventions.

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

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

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