/ / What is office hysteroscopy? Description, indications for the conduct

What is office hysteroscopy? Description, indications for the conduct

Modern gynecology uses a lot of waysresearch of the female body. During life, every woman has to undergo such manipulations as ultrasound and gynecological examination. Deeper diagnostics can be performed with the help of such operations as office hysteroscopy, laparoscopy, hysterosalpingography and so on. In today's article we will talk about one of them. You will learn what office hysteroscopy is and how it is produced. It is worth mentioning the testimony to the study and the cases when it should be abandoned.

office hysteroscopy

What is the office hysteroscopy of the uterus?

This is a study of the genital organ that is produced in the doctor's office. Manipulation does not require prior anesthesia. However, it is necessary to take tests.

Office hysteroscopy involves the use ofthin tube-hysteroscope. The introduction of such a device is painless, it does not require the expansion of the cervical canal. Manipulation is very rarely conducted in Russian clinics. Abroad, this diagnosis is more common.

office hysteroscopy reviews

Indications for the procedure

Office hysteroscopy involves studyinginternal mucosal layer of the uterus. Many women mistakenly believe that they have no evidence of this manipulation. But every third female representative needs this intervention.

Office hysteroscopy from conventional diagnosticdiffers in that it can not go into medical. In the office of a gynecologist, there are not always the devices and preparations for such manipulations. Despite this, the operation is considered necessary and useful. Indications for the conduct will be the following situations:

  • incomprehensible breakthrough bleeding from the genital tract;
  • frequent pain in the lower abdomen;
  • menstrual cycle disorders;
  • preparation for in vitro fertilization or cases of failure;
  • infertility;
  • control after abortion, cancer treatment, inflammatory processes;
  • neoplasms (polyps, fibroids, cysts) and so on.

Limitations: what each patient should know about

Not all women can bemanipulation. There are a number of contraindications. Before the appointment of a doctor, the doctor must necessarily exclude them. Ignoring these leads to unpleasant consequences. So, it is forbidden to conduct office hysteroscopy in the following cases:

  • inflammation of the genital organs (adnexitis, metritis, salpingitis);
  • diseases of the vagina (vaginosis, colpitis, candidiasis);
  • acute viral and bacterial pathologies (influenza, ARVI);
  • fever of unknown origin;
  • 3 and 4 degree of purity of the vagina;
  • severe liver, kidney and cardiovascular disease;
  • uterine bleeding of unknown origin;
  • pregnancy.

Diagnostic and therapeutic hysteroscopy, whichprovides expansion of the cervical canal, is not performed with cervical cancer and stenosis. However, office research in these situations is permissible. You just need to properly prepare for it.

office hysteroscopy of the uterus

Preparation for the study: analyzes

What kind of training does the officeHysteroscopy? Moscow is filled with a variety of private clinics, in which the study involves only half an hour of preparation. If you turn to those, then experienced physicians will quickly take the necessary tests and after a short time you can already start the research (in case of getting good results). If you apply to government agencies, it will take about 2-3 days to prepare. It includes the following studies:

  • blood test for rhesus, coagulability and infection;
  • Smear on the definition of flora and purity of the vagina;
  • ultrasound examination of the uterus;
  • gynecological examination and questioning of the patient.

Please note that in private clinicsMoscow and other cities for the examination and the actual office hysteroscopy you will have to pay, while the appeal to state institutions does not involve money collection (except for the absence of documents from the patient).

after office hysteroscopy

How is the diagnostic manipulation performed?

Office hysteroscopy of polyp and otherpathological conditions are made in the doctor's office, this you already know. The patient is located on the gynecological chair, as for a standard examination. With the help of mirrors, the doctor expands the arches of the vagina and disinfects the cervix.

Next, a thin tube of the hysteroscope is inserted.Preferably, ultrasound is monitored. But not all clinics practice this. Using the image displayed on the screen, the gynecologist examines the uterine cavity and, if necessary, marks its defects. After this, the tube is removed, and the woman can return to her business. The study does not last more than 10 minutes.

office hysteroscopy of the polyp

Consequences of the procedure

After the office hysteroscopy, the patient can go home. There is no need to stay in the walls of a medical institution. However, if you feel unwell, it is better to stay under the supervision of doctors.

On the day of the manipulation,Stretching pain in the abdomen and minor spotting. This is not a pathology. Most likely, the doctor will prescribe to you antispasmodics, which will help to cope with unpleasant sensations. After the study, it is recommended to abstain from sexual intercourse for several days. It is also worth taking antimicrobial compounds prescribed by the doctor to prevent the infectious process.

Negative effects of office hysteroscopyare very rare. But they have a place. This is the perforation of the uterine wall, inflammation, bleeding, scar formation on the neck in case of injury, and so on.

office hysteroscopy polyp removal

Office hysteroscopy: reviews

There is a misconception that this manipulationvery painful and is made only under anesthesia. In fact, everything is far from the case. Doctors say that office hysteroscopy does not provide for the expansion of the cervical canal. This means that the woman will not feel pain. Patients undergoing the study claim that they felt minor discomfort in the lower abdomen. Unpleasant feelings persisted for several hours after diagnosis. Therefore, it would be right to postpone all the things planned for this day, and stay at home.

Office hysteroscopy allows withouthospitalization and use of anesthetics with accuracy to diagnose. Most often, the study is conducted about infertility or inadequate in vitro fertilization. Modern devices equipped with the latest screens for image transmission, show a clear and clear picture of what is happening inside the uterus. Therefore, in the formulation of a correct diagnosis after conducting such an investigation, there is no doubt.

There are a few negative opinions about thisresearch. Women say that after manipulation they developed severe abdominal pains, unpleasant discharge with a strange smell started. All this speaks about infection. Therefore, it is so important to comply with all the rules of preparation for the study and take the necessary tests.

office hysteroscopy

Summarize

From the presented article you learned what isoffice hysteroscopy. Removing a polyp detected during diagnostics is usually assigned after a few days. To do this, a woman is hospitalized in the department of gynecology and stays there from several hours to three days. Treatment of detected lesions in the gynecologist's office by means of office hysteroscopy is not practiced. Perhaps in the near future such therapy will be carried out immediately (during office hysteroscopy). If you are assigned to such a study, do not worry and follow all the doctor's recommendations. Good results to you!

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