Hysteroscopy | Dr. Hakan Özörnek


What is Hysteroscopy?

Hysteroscopy is the evaluation of the inside of the uterus and the part of the fallopian tubes that opens into the uterus, achieved by entering through the cervix with a special optical device. Hysteroscopy can be performed for diagnostic or therapeutic purposes.

Diagnostic hysteroscopy refers to the visualization and diagnosis of diseases or structural abnormalities within the uterus. Surgical hysteroscopy, on the other hand, involves addressing pathologies observed during the procedure.

Does Hysteroscopy improve success in IVF?

For successful pregnancy in in vitro fertilization (IVF), the embryo must be able to attach to the uterus. Issues within the uterus, such as fibroids, polyps, or adhesions, can hinder embryo implantation. Hysteroscopy is an effective and modern method used for the diagnosis and treatment of such problems, contributing to increased success rates in IVF treatments.

How is Hysteroscopy performed?

Hysteroscopy is generally performed under mild general anesthesia, and it is not a strenuous procedure. It is not painful for the patient. A specially designed tube-like device with a lens system and a camera is inserted into the uterus, allowing the interior to be monitored on a monitor, enabling clear identification of potential issues. To facilitate a more detailed observation of the uterus, fluid is introduced into the uterine cavity. The hysteroscope, in addition to the camera system, has cutting and coagulating tools at its tip, allowing for necessary treatments if required.

Risks of Hysteroscopy

As with any surgical and medical procedure, expertise and specialization are required for hysteroscopy. Rare complications may include anesthesia-related issues, uterine perforation, cervical injury, excessive bleeding, or uterine infection.

When is Hysteroscopy performed?

  • Hysteroscopy is typically performed in the week following the end of the menstrual period, as deemed suitable by the doctor.
  • Due to its modern and effective nature, hysteroscopy provides definitive results in the treatment of intrauterine problems.
  • Discomfort and mild pain after the operation are minimal.
  • It does not require hospitalization; patients can return home after the procedure.

What to consider after Hysteroscopy?

Vaginal discharge or cramps may occur after the procedure, which is normal. Simple pain relievers approved by your doctor can be used.

If severe abdominal pain, fever, foul-smelling and excessive discharge, or excessive bleeding occur, it is important to consult your doctor.

Is sexual intercourse permitted after Hysteroscopy?

It is advisable to abstain from sexual intercourse for a few days after the procedure. Sometimes, this period of abstinence may be recommended until the next menstrual cycle.

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