Hysteroscopy
Hysteroscopy
Hysteroscopy is a procedure in which a thin telescope is inserted into the vagina to examine the cervix and inside of the uterus. Hysteroscopy can be either diagnostic or operative.
Hysteroscopy is a gold standard for visualisation of uterine cavity and treatment of any pathology inside the uterus.
Indications
- Patients with history of past pelvic infection or tuberculosis
- Abnormal findings on Ultrasound or Hysterosalpingography (HSG)
- Thin endometrium during fertility treatment
- Recurrent implantation failure
- Recurrent miscarriage
- Abnormal uterine bleeding
Diagnostic Hysteroscopy
Diagnostic Hysteroscopy is used to diagnose the problems of the uterus.
Operative Hysteroscopy
Operative Hysteroscopy is used to correct any abnormalities detected during a diagnostic hysteroscopy. If an abnormal condition is detected during the diagnostic hysteroscopy, an operative hysteroscopy can be performed at the same time.
The following problems can be identified and needs correction
- Polyps and fibroids – these are small growths found inside the uterus and interfere with implantation of embryo.
- PoorAdhesions or Asherman’s syndrome - Uterine adhesions are bands of scar tissue that can form in the uterus due past history of infections, particularly tuberculosis or following multiple D+C procedures. Hysteroscopy can help to locate and clear these adhesions.
- Partial or complete septum - septum is birth defect in the uterus by which a partition is present inside the uterus, which interferes with implantation of embryo and increases risk of miscarriage. Hysteroscopy can help determine presence of septum and also correct it.
- Tubal block - hysteroscopic tubal cannulation can be done to try to open the tubal blocks.
Hysteroscopy is usually scheduled in the first week after the menstruation. At this time, the uterine lining is thin and there is no bleeding, so the views inside the uterus are best.
Hysteroscopy can also performed to determine the cause of unexplained bleeding, heavy periods or spotting in postmenopausal women.
At our centre we use world-class equipment for hysteroscopy. We run a training program for gynaecologists in the art of hysteroscopy and have international and national guest faculty as well.
Frequently Asked Questions
Find answers about Hysteroscopy and advanced fertility and gynaecology care at Southern Gem Hospital in Hyderabad.
What is Hysteroscopy?
Hysteroscopy is a procedure in which a thin telescope is inserted into the vagina to examine the cervix and inside of the uterus. It can be either diagnostic or operative. It is the gold standard for visualisation of the uterine cavity and treatment of any pathology inside the uterus.
What is the difference between Diagnostic and Operative Hysteroscopy?
Diagnostic Hysteroscopy is used to diagnose problems of the uterus. Operative Hysteroscopy is used to correct any abnormalities detected during a diagnostic hysteroscopy. If an abnormal condition is detected during the diagnostic hysteroscopy, an operative hysteroscopy can be performed at the same time.
Who needs Hysteroscopy?
Hysteroscopy is indicated for patients with a history of past pelvic infection or tuberculosis, abnormal findings on ultrasound or HSG, thin endometrium during fertility treatment, recurrent implantation failure, recurrent miscarriage, abnormal uterine bleeding, polyps and fibroids, Asherman's syndrome, uterine septum, tubal block, and unexplained bleeding or heavy periods in postmenopausal women.
What problems can Operative Hysteroscopy correct?
Operative Hysteroscopy can identify and correct polyps and fibroids (small growths inside the uterus that interfere with embryo implantation), poor adhesions or Asherman's syndrome (bands of scar tissue in the uterus), partial or complete uterine septum (a birth defect causing a partition inside the uterus that increases miscarriage risk), and tubal blocks through hysteroscopic tubal cannulation.
When is Hysteroscopy performed?
Hysteroscopy is usually scheduled in the first week after menstruation. At this time, the uterine lining is thin and there is no bleeding, so the views inside the uterus are best. It can also be performed to determine the cause of unexplained bleeding, heavy periods, or spotting in postmenopausal women.
Is Southern Gem Hospital a referral centre for Hysteroscopy?
Yes. Southern Gem Hospital, Hyderabad is a national referral centre for Hysteroscopy, with difficult cases referred from across the country. The centre uses world-class equipment for hysteroscopy and runs a training program for gynaecologists in the art of hysteroscopy with international and national guest faculty. Dr. Sweta Agarwal also teaches hysteroscopy to gynaecologists from across the country.
Is Hysteroscopy available at Southern Gem Hospital Hyderabad?
Yes. Southern Gem Hospital, Hyderabad offers Hysteroscopy at both its Basheerbagh and Banjara Hills branches. The procedure is performed by Dr. Sweta Agarwal, Director of Fertility and Gynaecology, using world-class equipment. For appointments, call +91 40 6658 5555 or +91 80964 14440.