What is office hysteroscopy? Description, indications for the conduct

Modern gynecology uses a lot of ways to study the female body. In the course of life, each of the fairer sex 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 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 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 the procedure

Office hysteroscopy involves the study of the internal mucous 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 the usual diagnostic is distinguished by the fact that it can not be transferred to a medical one. 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;
• Disorders of the menstrual cycle;
• 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 be manipulated. 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 genitals (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, which provides for the expansion of the cervical canal, is not performed for cervical cancer and stenosis. However, office research in these situations is permissible. You just need to properly prepare for it.

Preparation for the test: analyzes

What training does office hysteroscopy provide ? Moscow is filled with a variety of private clinics, in which the study involves only half an hour of preparation. If you turn to such, then experienced physicians will quickly take the necessary tests and after a short time you can 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 Rh, clotting 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 office hysteroscopy proper, while applying 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 the polyp and other pathological conditions is performed in the doctor's office, you already know about it. The patient is placed on a gynecological chair, as for a standard examination. With the help of mirrors, the doctor dilates the vaginal vaults and disinfects the cervix.

Next, you enter a 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 that, the tube is extracted, and the woman can return to her business. The study continues no more than 10 minutes.

Consequences of the procedure

After the office hysteroscopy, the patient can go home. To stay in the walls of a medical institution is not necessary. However, if you feel unwell, it is better to stay under the supervision of doctors.

On the day of manipulation, there may be abdominal pain and minor bloody discharge. 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 perforation of the uterine wall, inflammation, bleeding, the formation of scarring on the neck in case of damage to it and so on.

Office hysteroscopy: reviews

There is a misconception that this manipulation is very painful and is done only under anesthesia. In fact, everything is far from being so. 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 who were examined said 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 affairs planned for this day, and stay at home.

Office hysteroscopy makes it possible to diagnose accurately without the 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 true diagnosis after carrying out such an investigation, there is no doubt.

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

Summarize

From the presented article, you learned what office hysteroscopy is. Removal of the polyp detected during the diagnosis is usually appointed in 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!