Hysteroscopy before IVF: indications, technique, reviews
To successfully complete the procedure of in vitro fertilization it is necessary to conduct some required inspections. These include hysteroscopy before IVF. This method is endoscopy, which allows to investigate the internal structure of the uterus, fallopian tubes and make the necessary manipulations. For example, the removal of various formations, such as adhesions or knots, neoplasms of different nature.
The hysteroscope is a thin probe, the diameter of which is less than 1 cm Due to the small size they can carry out research and to perform biopsies on an outpatient basis, without the use of anesthesia.
Hysteroscopy before in vitro fertilization must be performed in order to protect the woman from serious consequences of unsuccessful attempts of conception.
If there is no pathology, IVF maybe in a few months after hysteroscopy. If you have been diagnosed and cured any disease, then IVF should be postponed for up to six months.
The indications for the procedure
In-vitro fertilization of many possible complications. To minimize the risks of miscarriage, should be possible to monitor health. Therefore, hysteroscopy before IVF becomes a mandatory procedure, which helps in further treatment.
The study shows:
- If the patient is suffering from recurrent pregnancy losses.
- In case of suspicion of the presence of endometriosis.
- When failed IVF hysteroscopy helps to identify the cause.
- In injuries of the mucous membrane, adhesions, scars, etc.
- In the presence of benign tumors.
- For full control of the treatment.
Remember, carry out in vitro fertilization without a thorough examination of the uterus may be completely useless!
Mandatory indication for examination of the uterus before IVF is infertility with no identified cause.
Contraindications to testing will be the inflammatory and infectious genital diseases and exacerbation of chronic diseases.
The methodology of the
Often hysteroscopy before IVF is carried out after introduction of patient to anesthesia. In case of contraindications to General anesthesia it is possible to use epidural anesthesia. The duration of the manipulation depends on the degree of complexity of the intervention that must take place. The minimum time will it take to complete the survey, which will not require the removal formations or the solution of other problems.
The patient during surgery is in a gynecological chair. The doctor uses a flexible hysteroscope, an optical system which can output image on the monitor screen. Modern technologies allow to make a video of the procedure.
As a rule, hysteroscopy before IVF is always being between 6 to 10 day cycle. Most often, women do not experience intense discomfort during the procedure. You may experience discomfort, which do not impact on the operation.
Sometimes you might need to decide on what day of the menstrual cycle. In the first half of the cycle, you can see defects damage to lining of the uterus because the endometrial layer is thinned. Moreover, blood loss during the removal of neoplasms in this period is minimal. The functional state of the endometrium examined in the second half of the cycle. During the critical days do not do a hysteroscopy.
Preparation for the procedure
The patient should undergo a series of examinations that include:
- Common tests (blood and urine) and blood.
- Coagulation and biochemical blood analysis. These tests are extremely important, especially if you have the performed surgery.
- Tests for hepatitis, syphilis and HIV.
- Chest x-ray.
- Bacterioscopy discharge from the vagina.
By the way, the same tests must pass and IVF. If the test results are within normal limits, retake they do not need. But in the case of detection of diseases will require re-testing for monitoring of treatment.
The reviews of those who did hysteroscopy before creeperness, is quite diverse. But those women who think it necessary to do hysteroscopy before IVF, should listen to the opinion of the doctor. It is important to understand that successful fertilization with vitro fertilisation procedure, the woman will have to exert maximum effort to preserve their health. The whole process of preparation takes a long time, but a successful result will bring a lot of joy and happiness.