Diagnostic hysteroscopy is the technique with which we can see directly within the uterus. Is it painful? What are the risks? Dr. Giacomo Valducci, an expert in gynecology and obstetrics in Rome
The novelty of diagnostic hysteroscopy is undoubtedly the possibility to test with the optics connected to a high-definition camera that can transfer the scanned image of the uterine cavity to the monitor. In a few moments, in fact, we can visualize its shape and content, thus evaluating pathologies such as septas, fibroids, polyps and sinechie. Even uterine malformations are clearly displayed.
When to perform hysteroscopy?
Examination should always be recommended when looking for infertility , abortion or uterine scarring, in general for all infertility problems or menstrual changes that may be related to the presence of polyps, fibroids or other neoformations endouterine. Many times, simple ultrasound or ventricular pulse is not enough to define a pathological hypothesis, so nothing is better than a direct visualization of the cavity.
Hysteroscopy: Is It Painful?
Over the years, the caliber of the instrument to be introduced into the uterine cavity has progressively reduced and almost all examinations are conducted with hysteroscopes of less than 3 mm diameter. This, coupled with the experience of the operator, always allows for a practically painless examination even in people who have not had a pregnancy or have given birth spontaneously. Another important step for a painless examination is the means by which the uterine cavity is stretched out: initially, only carbon dioxide was used, whereas today the physiological relaxation provides a near zero nuisance.
What are the risks of hystoscopy?
Diagnostic hysteroscopy is a simple exam of a few minutes duration, which is carried out outpatially and without any preparation, usually without side effects, although the risks of uterine perforation are not trivialized: this unfortunate event, albeit rare, is sometimes caused by uterine malformations that, coupled with poor operator experience, hesitate in a perforation of the uterus.Nor should the risk of infection be trivialized, a factor that is very related to the place where the examination (surgery or surgery) is conducted and more generally the patient's disinfection criteria and the tools that are applied. With high standards there is absolutely no need to take antibiotics unless specific personal problems.
Indications for Hysteroscopy
It should be remembered that in fertile patients the examination should always be performed in the first half of the menstrual cycle in order to exclude a possible initial pregnancy. Another obvious contraindication is the menstrual flow that would prevent our small camera from displaying and identifying the possible pathology.Once there is a possible pathology, it remains to be corrected by what is generally called operating hysteroscopy or hysteroscopic resection.
Editor: Valerio Bellio