Ministerele: indications, conduct, complications
Ministerele, or hysteroscopy a screening method of examination of the cervix and cavity of the uterus, carried out without anesthesia in a short period of time. Doctor can also perform a number of simple surgical procedures or to hold the fence biopsies for subsequent histological examination. While hospitalized woman is not required, which distinguishes this procedure from its extended counterparts. However, the procedure is not always done on the OMS, i.e. not paid the usual medical policy.
Study of the uterus and its cervix is performed using special ultra-thin hysteroscope with a diameter of 2-4 mm, which is two to three times less than similar devices for the traditional hysteroscopy. The hysteroscope is gently inserted through the hole in the cervix of the uterus and visually examine the endometrium. It is important to note that such small dimensions of the device allow to avoid trauma to the mucous membrane of the cervix and to renounce the use of anesthesia.
Studies of the uterus using a thin hysteroscopes is performed for the following indications:
- Suspected benign or malignant neoplasm.
- Pathological changes in the endometrium in the form of polyps, hyperplasia and others.
- Suspected congenital anomalies of the structure of the cervix and her body.
- Unstable menstrual cycle with various disabilities.
- The development of uterine bleeding after menopause.
- Infertility caused by various factors.
- The need for monitoring the status of the endometrium after surgical interventions or the use of hormonal therapy.
In specified cases examination is the method of choice, however, the doctor it is important to remember about the existing contraindications:
- Inflammatory diseases of the pelvic organs.
- Massive uterine bleeding.
- Stenosis of the canal in the cervix.
- Suspicion on the tumor process in the cervix.
The detection of these contraindications, ministerele need to give up and choose the same methods of survey.
Ministerele is strictly from the 6th to the 12th day of the menstrual cycle, as it requires a certain state of the cervical canal and endometrium. A woman must undergo a preliminary medical examination, consisting in the study of vaginal microflora and blood a number of infectious diseases (HIV, hepatitis b and C, syphilis). If there is a probability of transition from minimally invasive way to advanced hysteroscopy, it is necessary to expand training to include the study of the hemostatic system. Typically, these issues are decided by the attending physician during the consultation.
The attending physician shall strictly observe the rules of examination to prevent complications.
Before the procedure it is best not to eat. The woman in the morning, allowed some Breakfast, and during the last five hours before the test, the meal should not be. This measure relates to the need to prevent nausea and vomiting in the research process of the uterus.
General anesthesia is never used. However, in cases of significant discomfort and pain during the examination, the gynecologist may do a local anesthesia. But such cases occur very rarely, as a rule, no anesthesia is required.
After the introduction of the hysteroscope the doctor is able to visually inspect the cervical canal and the uterine cavity, through the device. Ministersof is a probe of small diameter with an installed light source and camera on the end that allows you to video, capture pictures and record it all in the computer’s memory for later study.
The average duration of the procedure ranges from 10 to 60 minutes, depending on the purpose of the study and the need to perform additional manipulations (burning, erosion, biopsy, etc.).
Complications of minimally invasive hysteroscopy are extremely rare. Can develop the following States:
- Slight erosion of the cervix and cervical canal.
- Infection in the vagina or the uterus.
- A small bleeding from the mucous membranes.
These complications are associated with violation of preparing women for examination, and failure to observe examination.
What to do after the procedure?
At the end of the examination, the woman may leave the medical facility after 10-15 minutes and after doctor to make sure full security. As a rule, the only recommendation for the prevention of complications is to avoid intimate relationships, a visit to the baths or pools within 2-3 days after ministerele.
The survey should be carried out after prior consultation with a gynecologist.
Ministerele – effective and safe method for examination of the uterine cavity, allowing to apply the procedure without any anesthesia. This diagnostic method is actively used in modern gynecology to diagnose different diseases of the organs of the female reproductive system. It is important to remember that if a woman is planning to pass such inspection, it is necessary to know in advance the cost of the procedure and rules for its preparation.