Role of Hysteroscopy in Infertility
Hysteroscopy is a minimally invasive surgical procedure that is used for diagnostic and operative interventions for endometrial polyps, intrauterine adhesion, uterine septa, and many more. At times, doctors is perform this procedure for the diagnosis of congenital anomalies and for evaluating endocervical anatomy.
Hysteroscopy is performed under anesthesia. The hysteroscope is inserted into the uterus of the patient to view the interior of the uterine cavity. The surgeon examines the lining and shape of the uterus, looks for polyps and fibroids. The opening of the fallopian tubes can also be visualized.
Hysteroscopy should be performed only after a proper physical examination and complete history taking of the patient. Hysteroscopy is performed in the early follicular phase to avoid the increased endometrial thickness debris and mucus that could impair visualization.
The recovery period is quick, and most of the patients return home the same day. There is a low risk of infection.Postoperative pain is minimal.
Hysteroscopy is considered as the benchmark for the diagnosis of intrauterine lesions. Almost all doctors accept the systematic use of hysteroscopy before IVF in treating infertility. This procedure improves pregnancy rates, which is the main aim of the treating doctor. Uterine cavity can be re-evaluated after repeated implantation failures in IVF cycles with the help of hysteroscopy, which can even improve the pregnancy rates as well.
The latest methodological and technological developments have made diagnostic and operative hysteroscopy to be more efficient, cost-effective, safe, and useful for the couples who are longing to have a baby.Authored By : DR RUCHI MALHOTRA, DGO DNB - Obstetrics & Gynecology