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Diagnostic Hysteroscopy


Diagnostic hysteroscopy is a very common gynecological procedure performed on a patient to evaluate the condition of the endometrial cavity. The following article will focus on the indications of a patient’s condition when this procedure is performed. Diagnostic hysteroscopy usually implies to the panoramic procedure where the uterine cavity is disintended with a liquid medium to evaluate the genetail tract of infertile women.

Indications of Diagnostic Hysteroscopy

The remarkable progress that has been made in the field of medications and surgery has increased the scope of indications for hysteroscopy. Today, diagnostic hysteroscopy is considered as the ideal method for assessing all the cases where a clear visualization of the cervical canal, uterine cavity and the tubal ostia will certainly improve the accuracy of the diagnosis and give guidance in therapeutic management. It is in the field of improved diagnosis that this process of hysteroscopy has made a significant and long lasting improvement. Thus these are the following cases where this procedure can bear significant result.

  1. Infertility: Endometrial biopsy and hysterosalpingography (HSG) are a well established procedure to detect causes of infertility. However, only diagnostic hysteroscopy is a procedure that can help in an accurate assessment of the genital tract of an infertile woman. All of the above mentioned procedures, when combined, give a thorough idea of the cause of infertility in a woman. Hysteroscopy is a recommended procedure for the detection, diagnosis and the treatment of intrauterine adhesions. This helps to understand the anatomical and functional condition of the uterotubal ostia.
  2. Abnormal Uterine Bleeding (AUB): AUB is the reason for most of the gynecologic conditions. As excessive menstrual blood loss is an indication for determining the reason in the uterine cavity and to find the underlying pathology. A possible accurate diagnosis is rarely possible, but with diagnostic hysteroscopy, you can get an accurate result, even though it is not the final diagnosis of the same.

  3. Endometrial Hyperplasia: Diagnostic hysteroscopy can also provide useful information in the prevention of neoplastic lesions of the endometrium. An early diagnosis for the endometrial adenocarcinoma is generally not possible in pre-menopausal women as this kind of problem with neoplasm is quite asymptomatic for a number of years. Hysteroscopy bears advantage at this stage as well. It permits a targeted biopsy for localized lesions, which ultimately reduces any chances of false diagnosis. It also permits a proper classification of the extent and the degree of hyperplasia.

    These are the very important uses of the diagnostic hysteroscopy. It helps on a proper diagnosis of several uterine problems and increases the chances of specific treatment. The procedure has gained momentum in recent time due to its accurate and useful diagnosis, with many doctors and surgeons, equally adopting it for their patients. It also helps in the management of infertility and repeated abortion.

 

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