Infertility Treatments

Diagnostic Hysteroscopy

Diagnostic hysteroscopic procedures are conducted to diagnose the conditions or the causes for the medical condition. Here there is no therapeutical intervention only a thorough uterine examination alongside the walls and the tubal openings is done. It is to be performed during the proliferative period of the menstrual cycle as during this stage the endometrium, the inner lining of the uterus is smooth and pink white in color which gives a clear view of the images during this period. This can be done in an outpatient department with or without giving anesthesia to the patient.

Indications
  • Abnormal excessive bleeding in cases of menorrhagia, DUB, post-menopausal bleeding.
  • Infertility due to the recurrent abortions from fibroids, polyps, asherman’s syndrome.
  • Chronic pelvic pain due to fibroids and bicornuate uterus.
  • Uterus structural deformities also called as mullerian abnormalities such as septate uterus, arcurate uterus..
  • Diagnosis of the foreign bodies such as remnants of fetal mass after spontaneous abortions and to diagnose the misplaced or moved family planning devices like copper -T.
  • It is also helpful in the diagnosis of haemangioma or any other arteriovenous malformations.

Contraindications

It is contraindicated when the patient has the history or with the presenting symptoms of pelvic infections which are caused by sexual transmitted infections, during pregnancy, cervical stenosis, cervical cancer and cardiopulmonary diseases.

Complications

Complications of operative hysterectomy includes the uterine bleeding which may lead to haemorrhagic shock, fluid overload, pulmonary edema, cerebral edema, decrease in sodium levels, ammonia toxicity due to high glycine absorption, neurological symptoms, uterine perforation and injury to the other associated organs.



Operative Hysteroscopy
diagnostic hysteroscopy
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