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Hysteroscopy is essential for a woman's health

Hysteroscopy is essential for a woman's health

Few people know what hysteroscopy is and what this procedure. Nor do they know the importance of this exam, which is a key piece when it comes to endometrial polyps, uterine fibroids, and endometrial cancer, diseases that affect many women. Polyps are lesions that can be precursors of endometrial cancer and range from 10 to 24% of women, especially around the age of 50. Fibroids are responsible for causing hemorrhages and difficulty becoming pregnant and occur in up to 25% of women of childbearing age.

Hysteroscopy is a procedure that allows the visualization of the uterus on the inside, called the cavity

With a coupled camera, which takes images to a TV monitor, even the patient can monitor their examination in real time.

Diagnostic hysteroscopy is an examination performed to look at the uterine cavity, cervical canal, and vagina. The great advantage is the possibility of being performed in an outpatient setting, without the use of anesthesia and without hospitalization.

Another convenience is that, in most cases, it can be done without the placement of speculum, "duck's beak" which allows the examination to be performed even in virgin women. With the introduction of the hysteroscope, which varies from 1.2 to 4 millimeters in diameter, it is already possible to directly visualize the inside of these organs.

How it is done

The patient must be in a gynecological position and can not be menstruating - because the bleeding disrupts the visibility - pregnant or with genital infections. In addition, most hysteroscopies are performed in patients who have already passed the menopause, since it is in this age group that polyps are more common.

The procedure consists of introducing the hysteroscope through the vagina, which arrives through the uterine cervix into the endometrial cavity, bringing light into its interior, as well as physiological saline to distend it. With a camera attached, which takes pictures to a TV monitor, even the patient can monitor your examination in real time.

Diagnostic hysteroscopy can be performed without anesthesia, it is rapid, and in many cases, such as when there are small polyps, the removal of the lesion can be done done in the same act, without needing hospitalization. Most patients complain only of a slight cramping during the examination. The intensity varies according to the pain threshold of each woman. All exams are photographed or recorded.

When to do

The examiner is the gynecologist when there is suspicion of diseases inside the uterus. Hysteroscopy can be performed with two objectives. One is to complete the investigation of a problem, such as an abnormal bleeding after menopause. The other is to function as a surgery to, for example, remove a fibroid that is making it difficult for a couple to become pregnant or causing bleeding in the woman.

There are many situations that require this examination. The main one is abnormal bleeding, but hysteroscopy is never the first test to be ordered. It should always be done after pelvic ultrasonography.

Hysteroscopy is able to show polyps and fibroids from the inner lining of the uterus - the so-called endometrium - uterine malformations that can cause abortions and even sterility. In some cases, even endometrial cancer can be diagnosed through diagnostic hysteroscopy, followed, of course, by biopsy.

It is also possible to remove IUDs (intrauterine devices) that no longer have visible yarn and assisting in the diagnosis and follow-up of cervical lesions caused by HPV (Human Papilloma Virus).

In addition to these, other situations are the cases of infertility, repetitive abortions, adhesions, among other situations where hysteroscopy aids in research and treatment.

News

The latest innovation in the world of outpatient hysteroscopy is the possibility of sterilization, an option to ligature. The devices are placed inside the uterine tubes and obstruct them definitively. As this procedure is ambulatory and vaginal, it does not require hospitalization or cuts, such as conventional lancet, and the woman can return to her activities the same day or the next day.


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