Hysteroscopy

Hysteroscopy

Laparoscopy is minimally invasive surgery, also called ‘Key Hole Surgery’ where the procedure is performed making small 5 mm to 1 cm knicks on the abdomen instead of a big incision.
Dr. Aditi is well adept in performing Hysteroscopy. She performs these surgeries at her Chembur centre in Mumbai.

The centre is equipped with all the latest technologies and instrumentation required for hysteroscopy including the small 2.9 mm Hysteroscope and the bipolar resectoscope.
Hysteroscopy may be required for numerous reasons. It is a see and treat procedure. If an abnormality is visualised during Hysteroscopy, it can be treated in the same sitting. It may be needed in evaluation of an infertile woman, before she undergoes IVF or if her ultrasound is suggestive of a polyp, submucous fibroid or a septum.The success of ART treatment increases after a corrective surgery done through the Hysteroscope.
If you have had recurrent pregnancy losses, you may need a hysteroscopic evaluation to find out why. If you have heavy periods or you have bleeding after your periods have stopped, you may need a Hysteroscopy for further evaluation, you can visit Dr. Aditi who will guide you, device a treatment plan for you, and will explain to you in detail about the need of tests and kind of procedure you may require. She is very approachable and is will answer all your queries. The findings of Hysteroscopy are well documented in the form of pictures/videos and will be provided to you after your procedure.

Indications

• Infertility
• Recurrent abortions
• Excessive menstrual loss
• Absent/scanty menses
• Evaluating the cavity of the uterus before Embryo Transfer in an IVF/ICSI cycle

OPERATIVE HYSTEROSCOPY INDICATIONS

• Intrauterine adhesions / Ashermans syndrome - It can be a reason for failure to conceive. The adhesions inside the uterine cavity are incised with the Hysteroscopic scissors.
• Uterine polyps – it may cause heavy bleeding or infertility. They are diagnosed on sonography. Using a hysteroscope, a polyp can be easily resected.
• Fibroids – type O to type I submucous fibroid that projects into the uterine cavity can be removed hysteroscopically. These fibroids could be a cause of heavy bleeding during menses and infertility; hence they need to be removed.
• Blocked tubes – If on the HSG, the cornual are blocked then a small wire can be inserted through the Ostia to open the tube. This is performed hysteroscopically. It is called cornual cannulation. It can treat proximally blocked tubes.
• Intrauterine septum - It is the presence of curtain inside the uterus which can lead to infertility and recurrent miscarriages. A septum is diagnosed via hysteroscopy. It can be cut using scissors or a resectoscope. We have had many successful pregnancies after a septum resection performed at our centre.
• Endometrial biopsy in cases of postmenopausal bleeding to rule out Ca of the Endometrium
• Before Embryo transfer in failed IVF cycles
• Hysteroscopy is done through the vagina. It could be done on an Outpatient procedure.