diagnostic hysteroscopy infertility

diagnostic hysteroscopy infertility

 

The most common indication for diagnostic hysteroscopy was as a part of an early infertility workup. Other indications included cases being part of a continuous workup either before IVF treatment or after a number of failed IVF cycles. Hysteroscopy revealed a normal uterine cavity in 156 (70%) women

Hysteroscopy is performed approximately half the time for the diagnosis of infertility. It is generally best performed in the postmenstrual proliferative phase. Different locations for hysteroscopy include the office, surgery center, or hospital operating room. Different media include CO2 gas, Sorbitol, glycine, Mannitol/Sorbitol mixture, 5% dextrose in water, or 32% Dextran-70. Endoscopes can range from 2 mm in size to 6.5 mm in size. The choice of location, medium, and instrumentation depends on the availability of facilities and resources, the anticipated diagnosis, and the surgical plan. The optimum approach involves one which has a high probability of resolving the clinical issue at hand, with the major difference in approach depending on whether or not operative intervention will be required, safety, and cost. Adjunctive procedures such as hysterosalpingography and sonohysterography can be of significant help in identifying the patient who requires hysteroscopy, and the best hysteroscopic approach for that patient given the clinical conditions.

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10 common question about diagnostic hysteroscopy infertility

1Can hysteroscopy cause infertility?
However, more studies are needed before hysteroscopy can be recommended as a fertility-enhancing procedure, concluded the researchers. Pertinent Points: - Removing polyps and other uterine cavity abnormalities via hysteroscopy in women with unexplained infertility may increase their chances of becoming pregnant.
2How long is hysteroscopy recovery?
These symptoms usually go away in 1 or 2 days. If the doctor filled your uterus with liquid during the procedure, you may have watery vaginal discharge for a few days. Many women are able to return to work on the day after the procedure. But it depends on what was done during the procedure and the type of work you do.
3What can I expect after a hysteroscopy?
A hysteroscopy usually takes between 5 and 30 minutes. ... a hysteroscope (long, thin tube containing a light and camera) is passed into your womb – you may experience some cramping and discomfort as it passes through your cervix. fluid is gently pumped into the womb to make it easier for your doctor to see inside.
4Can hysteroscopy detect blocked fallopian tubes?
Diagnostic hysteroscopy uses a thin lighted tube (hysteroscope) to examine the cervix and inside a woman's uterus to evaluate for problems. ... Operative hysteroscopy can remove uterine fibroids and polyps, open blocked fallopian tubes, and perform endometrial ablation if endometriosis is present.
5Is a hysteroscopy dangerous?
Some cramping may be felt during the procedure, depending upon the type of anesthesia. Complications of hysteroscopy are rare and include perforation of the uterus, bleeding, infection, damage to the urinary or digestive tract, and medical complications resulting from reactions to drugs or anesthetic agents.
6Does polyp removal increase fertility?
Endometrial polyps have been found to be associated with infertility. There is at least one good study that revealed that removal of the polyp increases the chances of conceiving. ... These polyps can interfere with implantation, effectively preventing an embryo from attaching to the uterine wall.
7Do I need to rest after hysteroscopy?
Recovering from a hysteroscopy If you've had your hysteroscopy as an out-patient, with no anaesthetic, you should be able to go back to your usual activities the same day. ... It's normal to have some period-like cramping pains and some bleeding for a few days after your hysteroscopy.
8Is hysteroscopy considered surgery?
A hysteroscopy is considered a fairly safe procedure with minimal complications. However, it's still considered surgery. Because of this there are some possible complications, though they are not common
9Can you get pregnant after a hysteroscopy?
If 28% of women become pregnant without surgery, the evidence suggests that about 63% of women will become pregnant following removal of polyps . We found no data on number of live births, hysteroscopy complications or miscarriage rates prior to IUI. We retrieved no studies in women before other fertility treatments.
10What can I eat after hysteroscopy?
you can eat and drink as normal straight away – if you feel a bit sick after a general anaesthetic, try eating small, light meals at first. you can have a shower the same day and a bath the next day, unless your doctor advises you differently.

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