Tests for hysteroscopy: what you need to pass?
Hysteroscopy allows to clarify the status of the female internal genital organs, to identify pathology and, possibly, once it is adjusted.
As with any medical intervention, just before the procedure, you will have to undergo a preparatory examination.
What studies and analyses before the hysteroscopy will need
This includes the following list of studies:
- The result fluorography.
- A blood test for HIV, hepatitis b, hepatitis C, you also need to donate blood for the Wassermann reaction.
- Blood group and RH factor.
- Clinical analysis of blood.
- Assessment of the blood coagulation system.
- The General analysis of urine.
- Ultrasound of the pelvic organs.
- Smear on flora from the vagina.
Tests for hysteroscopy include the result of the smear on the flora of the vagina that the doctor judges the degree of purity of the vagina. If it is discovered pathological microflora, the woman will direct the reorganization.
The list may be supplemented, if necessary, your doctor.
In preparation for the hysteroscopy of the uterus is necessary not to forget that all the above tests have their own validity. Be sure to take care that all the examinations were relevant to the time of hysteroscopy. What tests need to pass before the hysteroscopy and when it is better to take one or other of them it is better to ask the doctor guide to the survey.
When you need a hysteroscopy?
Indications for intervention are:
- Infertility (with the aim of taking a biopsy of the endometrium and evaluation of the fallopian tubes).
- The separation of intrauterine adhesions or pipeline.
- Anomalies of development of female internal genitals.
- Evaluation of the results of the earlier treatment.
- Removal of neoplasms (e.g., endometrial polyp) and foreign bodies.
Hysteroscopy is not assigned when:
- Severe General somatic state of the patient.
- Acute infectious processes.
- Tumor or other pathology in the region of the cervix, greatly narrowing the channel and impeding the passage of the hysteroscope.
- Violations of the blood coagulation system.
The above conditions are absolute contraindications. There are also relative, with the decision on the examination immediately before the procedure takes physician on the basis of possible risks. In the presence of relative contraindications could significantly disrupt visualization of the uterine cavity, these include:
- The presence of menstruation or uterine bleeding of a different nature.
- Cancer of the endometrium.
- Narrowing of the cervical canal.
- The size of removed pathology 2 see more
How is the intervention?
The procedure can be performed with the use of additional anesthesia or even under General anesthesia, but there are modern types of hysteroscopes with which intervention and without anesthesia gives minimal discomfort to the woman.
The patient is placed so that the head end was slightly raised, further treatment of the external genitalia, vagina extend the mirrors, and the hysteroscope is introduced into the cervical canal. Using saline straightened and carefully studied the condition of its walls, moving to the uterus. Next, the doctor inserts the instrument into the uterine cavity, does it slowly and smoothly to cause the minimum of discomfort to women.
Is the inspection of the uterus, places of divergence from her fallopian tubes, determined the presence of intrauterine formations, their character and location.
If necessary, therapeutic manipulation, a doctor can hold them, using General anesthesia. The diagnostic hysteroscopy becomes therapeutic. For example, removing the polyp.
The duration of the entire procedure most often about 30-40 minutes. During this time, the specialist usually manages to carry out not only diagnosis but also to remove entities if required.
The management of the patient after the intervention depends on the nature and severity of the procedure. Is antibiotic prophylaxis, if necessary, can be assigned to analgesic, antispasmodic, hemostatic therapy.
Hysteroscopy refers to the types of outpatient surgery that rarely causes complications. Most women rapidly return to normal life. Some of them even several days after hysteroscopy can disturb scant spotting from the vagina or discomfort in the lower abdomen.
Timely access to a doctor if you have bleeding, persistent fever, intense pain is the key to quick correction of the condition and a speedy recovery to women.
Hysteroscopy remains one of the commonly used and highly informative, however, types of minimally invasive surgery in gynecology. It allows not only to diagnose the pathology, but also quickly deal with it without the need for hospitalization or in open operations that are significantly heavier.