Abnormal uterine bleeding, excessive menstruation, scanty menstruation, irregular menstrual cycle, fibroids, uterine flesh, displaced contraceptive device, infertility, habitual abortion, follow-up examination after spontaneous or induced abortion, abnormal ultrasound images, chronic lower abdominal pain, preoperative evaluation for artificial insemination and in vitro fertilization are all indications for performing hysteroscopy.
The uterus is the palace of the fetus, and the uterine cavity is the room where the fetus will live for 10 months, and it is easy to conceive when the uterine cavity is normal. For example, in one infertile woman who had failed to conceive by artificial insemination and IVF, she was examined by hysteroscopy and found a fibroid in the uterine cavity, which was removed by a surgical hysteroscope and she became pregnant naturally.
Another woman had stopped getting pregnant after her first child, and after treatment failed, she was examined by hysteroscopy and found two stitches in the uterine cavity from a previous cesarean section, as if a contraceptive device had been installed. Therefore, hysteroscopy is a powerful tool for treating infertility, and European and American fertility experts believe that all infertility patients should undergo hysteroscopy.
The best time for hysteroscopy should be from just after menstruation to before ovulation.
Hysteroscopy is an advanced device for diagnosis and treatment of diseases in the uterine cavity, which can clearly observe various changes in the uterine cavity and make a clear diagnosis. The hysteroscopy technique can directly examine the lesions in the uterine cavity, locate and collect the lesions for examination, which is accurate, timely, comprehensive and intuitive, and can detect cancer at an early stage; the tubal cannula can be inserted to check the patency of the fallopian tubes and unblock the interstitial part of the fallopian tubes, which is accurate and effective; the hysteroscopy can remove the endometrium, submucosal fibroids, endometrial polyps, uterine longitudinal septum, uterine adhesions and foreign bodies with good efficacy, without It is effective, not open, less trauma, less bleeding, less pain and faster recovery.
Hysteroscopic diagnostic indications.
Abnormal uterine bleeding.
Infertility or recurrent miscarriage.
Uterine malformation.
Intrauterine foreign bodies.
Diagnosis of uterine adhesions.
Diagnosis of intrauterine devices.
Indications for hysteroscopic treatment.
Unblocking of tubal openings.
Selective tubal cannulation and lavage test.
Foreign body removal.
Hysteroscopic injection of drugs for tubal pregnancy.
Indications for hysteroscopic surgery.
Endometrial resection.
Endometrial polypectomy.
myomectomy submucosal fibroids less than 7 cm in diameter, intermyometrial fibroids protruding into the uterine cavity with a diameter of about 4-5 cm, cervical fibroids less than 3-4 cm in diameter.
Longitudinal hysterectomy.
Dissection of uterine cavity adhesions.
There are no clear absolute contraindications, and the following are relative contraindications
1. Vaginal and pelvic infections.
2.Much uterine bleeding.
3. Those who want to continue pregnancy.
4. Recent uterine perforation.
5. Excessive narrowing of the uterine cavity or a stiff cervix that is difficult to dilate.
6.Acute subacute inflammation of the reproductive tract.
7.Severe heart, liver, lung and kidney diseases.
8.Infiltrating carcinoma of the cervix.
9, Genital tuberculosis without anti-TB treatment.
10.Patients with serious medical disorders that make it difficult to tolerate dilatation operations.
11.Tuberculosis of the reproductive tract without anti-TB treatment.
12, Hematologic disease without follow-up treatment.