Tests for hysteroscopy: guidelines and tips
The female body is so unique and complex system, what to study and explore it carefully. Any medical manipulations can lead to failures in female reproductive mechanism. Regardless of the purpose of the survey, whether a diagnostic study or therapeutic manipulation, a woman’s body must be examined, to detect deviations that are a barrier to the procedures. The list of such procedures include hysteroscopy.
First, you need to pass the examination. Before answering the question of what tests must pass before the procedure, find out what is hysteroscopy.
Briefly about the procedure
Under hysteroscopy is the procedure of examination of the uterine cavity. At the heart of this term lies in the word «hysteroscope». It is due to this tool, doctors examine the female body in full. This method of inspection allows the technician to diagnose the cause of infertility, uterine bleeding, miscarriages. In addition, doctors are able to identify the individual pathology and treatment.
Hysteroscopy is a possibility of inspection of the uterine cavity. Today the following types of procedures: diagnostic and therapeutic.
Diagnostic hysteroscopy is assigned to the inspection of the shell and cavity of the uterus, and minor operational changes. Usually it is not used painkillers.
Operational (therapeutic) hysteroscopy is used to remove a polyp in the uterus and partitions. Hysteroscopy is an alternative to curettage.
Indications for the procedure: foreign body, bleeding in the uterus, the diagnosis of an endometrial polyp.
Endometrial polyp is a benign neoplasm that is formed from the basal layer of the mucosa of the inner shell body of a hollow organ.
To establish the exact reasons for the formation of an endometrial polyp is difficult, however, for this pathology is carried out the above procedure. Removal of polyp of the «blind» method is dangerous.
Hysteroscopy involves the introduction into the uterine cavity special optical instrument. This device has the form of a long thin rod, which is equipped with lights and a video camera. This kind of surgical intervention combines safe and painless. As a rule, this procedure is prescribed in patients on the sixth day after the beginning of the cycle. If necessary, hysteroscopy doing at any time. Of course, before hysteroscopy, the patient may need to give some fences. This will be discussed further.
A list of necessary diagnostic tests
Typically, training begins with the execution of instrumental and laboratory studies.
To medical manipulation was a success, the woman must pass the following laboratory tests:
- General analysis of blood. In addition, it is necessary to assess coagulation this biological fence.
- Biological analysis of blood.
- Definition of RH factor and blood group
- The blood test for HIV, AIDS, syphilis, hepatitis.
- To perform koagulogrammou.
- The analysis of urine.
- PAP to evaluate the state of the microflora. Smear on the flora implies a total smear, a swab from the vagina and bacterioscopy. Additionally, this stage involves evaluation of vaginal purity. Smear on flora is prepared one day. In that case, if the value of this parameter exceeds a value of 1-2, the client provides rehabilitation and not just a smear.
- Smear for cytological studies.
In addition to laboratory research, a woman must undergo instrumental examination of, in particular, x-ray examination of the lungs, ultrasound of the pelvic organs and ECG and consult a cardiologist and anesthesiologist.
All of these items are mandatory for all patients. However, if necessary, appointed by colcoscopy, which allows to assess the condition of the vaginal mucosa, cervix.
Why you need a diagnostic study?
This list of tests is mandatory to have every woman on the day of the hysteroscopy.
As for the General analysis of blood and urine, biochemical analysis of blood smear on the flora and, if necessary, the result of coagulation, they should be done a few days before a trip to the doctor. The results of instrumental diagnosis, blood tests for HIV, AIDS, syphilis, hepatitis valid for one or two months. Smear for Cytology it is recommended to perform every six months.
Ultrasound examination of small pelvis organs it is recommended to perform the day before the appointment hysteroscopy. Ultrasound is the primary method of detection of an endometrial polyp.
Colcoscopy assigned only in case of detection of cervical pathological changes. This method allows to rule out cancer of the cervix, when the presence of which hysteroscopy is contraindicated. In that case, if the neck is clean, of that kind of research has no place.
As for the analysis, allowing to determine blood group and RH factor, it is one time, as this rate is constant throughout life.
Based on these tests, the doctor decides whether it is appropriate to carry out the hysteroscopy. In that case, if contraindications are discovered, the woman prepare for the procedure.
Preparation for the procedure
Medical intervention will be successful not only with the full examination of the female body. The important role played by the preparation to the procedure itself.
Thus, the preparation involves the following manipulations:
- The first step is to cleanse the bowel. In most cases, the experts for this purpose, use an enema. In parallel with this, the woman needs to go to the toilet and empty your bladder.
- In addition, the patient needs to take care of personal hygiene. To remove unnecessary hair in the vulva and adopt hygienic shower.
Performing diagnostic hysteroscopy is allowed without the use of painkillers.
Surgical hysteroscopy is characterized by the use of General anesthesia. 6 hours before hysteroscopy need to give up food and water.
In that case, if the woman is allergic, she should inform the doctor. In addition, it is necessary to mention that a few days before hysteroscopy, the patient took antibiotics.
Performing hysteroscopy has no slit. The machine gets in the way of chaff through the vagina. Due to the video camera image is displayed. The duration of diagnostic hysteroscopy takes less than half an hour, and surgery – two hours. The time spent after hysteroscopy depends on the scale of the intervention and what was the procedure itself.
After a few days after the hysteroscopy observed pain in the lower abdomen.
Usually two hours later, the patient can be free.
Hysteroscopy refers to a simple procedure. The recovery period is short and the effect is obvious. The patient has a day can do any work.
Contraindications to the procedure
In some cases, the above procedure is contraindicated. In which cases? This occurs if the woman at the time of diagnosis was detected neoplastic processes. After that hysteroscopy is not performed. Heavy bleeding, infectious disease, pathology of the heart, kidneys and liver are also a barrier to the procedure.