What is office hysteroscopy? Description, indications for the conduct
Modern gynecology uses a lot of ways to study 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.
What is 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 of a thin 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.
Indications for procedure
Office hysteroscopy involves the study of the internal mucosa 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 the usual diagnostic is characterized by the fact 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 irregularities;
- preparation for in vitro fertilization or cases of failure;
- control after abortion, cancer treatment, inflammatory processes;
- neoplasms( polyps, fibroids, cysts) and so on.
Restrictions: what every
patient needs to know. Not all women can undergo this manipulation. 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 perform office hysteroscopy in the following cases:
- of genital inflammation( adnexitis, metritis, salpingitis);
- vaginal diseases( 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;
Diagnostic and therapeutic hysteroscopy, which involves the widening 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.
Preparing for the study: analyzes of
What kind of training is provided for office hysteroscopy? 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, coagulation 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 clinics in Moscow and other cities you will have to pay for the examination and the actual office hysteroscopy, whereas the appeal to state institutions does not involve money collection( except for the absence of documents from the patient).
How is the diagnostic manipulation performed?
Office hysteroscopy of polyps and other pathological conditions is performed in the doctor's office, you already know about it. 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, enter the thin tube of the hysteroscope. 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.
Consequences of procedure
After an 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 manipulation, abdominal pain and minor bleeding may occur. 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 hysteroscopy are 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: feedback from
There is a misconception that this manipulation is very painful and is done 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 you to diagnose with accuracy without hospitalization and use of anesthetics. 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 this study. 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.
From the presented article you learned what office hysteroscopy is. 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!