It is a minor procedure in order to evaluate the uterine cavity.
How it's done?
- It can be done under local or general anesthesia. - The patient lies in a lithotomy position. - The vagina and perineum is cleaned by a sterile solution, then draping is done. - In cases of operative hysteroscopy dilatation of the cervix is done, (It is unnecessary in cases of diagnostic hysteroscopy).
- The hysteroscope is inserted into the uterine cavity and it transfer the inside image of the uterine cavity through a camera which is attached to a screen
- The uterine cavity is then filled with a fluid or gas.
What are the indications?
In order to diagnose any uterine cavity or cervical canal problems.
To diagnose unknown cause of uterine bleeding.
To diagnose and resect any congenital abnormalities in the female reproductive tract (Ex. uterine septum).
To diagnose and remove intracavitary fibroid and endometrial polyp.
To lyse intrauterine adhesion.
To determine the position of missed IUCD and remove it.
What are its contraindications?
1- Presence of pregnancy. 2- Cervical or uterine cancer. 3- Current pelvic inflammatory disease.
What are its complications?
These are rare complications but it could happen: 1- Uterine perforation. 2- Uterine bleeding. 3- Pulmonary edema. 4- Infections. 5- Pelvic injury to the bladder or bowel. 6- Cardiac arrhythmia. 7- Electrolyte imbalance. 8- Air embolism.
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