There could be many reasons why you are unable to conceive. Our doctor can provide a solution to your problem only if we know the reason. Among the several techniques for detecting the cause of infertility we offer, gynaecological endoscopy is one. Gynaecological endoscopy is one such procedure that helps the doctor to observe the internal problems in the reproductive structures.
Endoscopy is a diagnostic procedure. However, if the doctor finds any abnormalities in the structures, the same procedure can be modified to perform a surgery and correct that problem. Endoscopy is of two types: Laparoscopy and Hysteroscopy.
Our doctors use hysteroscopy technique to have a look at the uterus and the uterine cavity. If the doctor finds any abnormalities, they can be corrected immediately by doing a small surgery.
How to prepare for Hysteroscopy?
You should get a blood test and a pregnancy test a week before undergoing hysteroscopy.
You may eat and drink as usual if you are not undergoing an anesthetic procedure. However, if you are to undergo an anesthetic procedure, you should avoid eating and drinking few hours before the procedure. Your appointment letter will indicate the type of procedure or our doctors will be able to help you out with instructions.
It would be better if you wear loose fitted and comfortable clothing, as you may be asked for changing your dress to perform the test.
How do they do it?
There is no need to worry! Endoscopy is performed in less than 5 minutes. For the diagnostic purpose, it is done in an outpatient ward without giving any anesthesia. We insert a small telescope called hysteroscope through the vagina and the neck of the uterus. The cavity is then inflated with a fluid and visualized to check for any abnormalities.
If there are any abnormalities in the uterus through diagnostic hysteroscopy, they are corrected using operative hysteroscopy. Defects are removed by placing instruments through ports of the scope to cut or cauterize and remove the problem.
What does the test show?
Hysteroscopy allows the doctor to find out the changes in the uterus that lead to infertility.
- You may have changes in the endometrium (lining of the uterus)
- You may have changes in the openings to the fallopian tube
- You may have changes in the shape and size of the uterus
- You may have fibroids, polyps, adhesions, or scar tissues
- You may have septa in uterus
After the test
- If you are not given general anesthesia, you can go home and resume your normal activities. If you had general anesthesia during the test, you may have to stay for few hours and should not resume normal activities for at least 1-2 days.
- You should not have sexual intercourse and avoid the use of tampons for at least 2 weeks after the test.
- Your doctor may prescribe medications to prevent pain and swelling.Note: Contact your doctor immediately if you notice fever, or a heavy vaginal bleeding immediately after the procedure or severe stomach pain.
Is there any risk?
Although problems after the hysteroscopy are very rare, you may experience problems such as fluid overload, infection, uterine perforation, and vaginal bleeding. Mild pain and cramping can occur after operative hysteroscopy and can last for30 minutes to 8 hours.
Hysteroscopy can increase the pregnancy rates by nearly 1/3rd. Depending on the type of problems the success of the treatment varies.
- A thick non-obstructive lesion has about 33%.
- A dilated tubal stenosis up to 39%.
- Non-obstructive lesion has a success rate of up to 60%.
- A severe fibrotic processes has a nearly 0%.
Laparoscopy gives the doctor an opportunity to have a good look at the organs in the abdomen and the pelvis. This procedure will give the doctor a clear picture of the problems in that particular region which resulted in infertility.
How to prepare for the Laparoscopy test?
You may have to undergo fasting for few hours before the test. A laxative or an enema is given to clean your intestine to reduce the chances of infection after the test. Tell your doctor if you are using any other medication including over-the-counter drugs, which may have to be discontinued before the test.
Why is a Laparoscopy performed?
A doctor uses laparoscopy for various procedures such as
- Ovarian drilling
- Evaluating infertility
- If you have frequent miscarriages
- Treating fallopian tubes
- Removing scar tissues
- Detecting abnormal vaginal bleeding
- Treating endometriosis removing ovarian cysts
How is a Laparoscopy performed?
A minor incision is made under general anesthesia below your naval to insert a special needle. Carbon dioxide gas is passed through the needle to inflate the abdominal cavity. Through the incision, a laparoscope camera is inserted. Another small-sized incision is made in your lower abdominal region to insert surgical forceps visualizing aids into the pelvic organs. The procedure can last for 45 minutes but can go beyond several hours.
After the Laparoscopy test
The recovery after the procedure is fast, and you can leave the clinic within 2 to 3 hours.
- Your discharge medication includes pain relievers.
- Nausea is quite common due to the anesthetic agent used.
- You may feel minor discomfort in the abdomen, right shoulder or chest region during the first 48 hours.
- Most patients may have mild vaginal bleeding for nearly 24 hours after the procedure.
- You may completely recover to carry your normal activities within 3-4 days.
Note: If you feel your symptoms are worsening during the recovery period, immediately contact your doctor.
Is there any risk involved?
A low risk of complications may occur with laparoscopy. Similar to most other surgical procedures, these risks include injuries to the organs of the abdomen and stomach. However, procedures involving highly trained fertility surgeon has as low as 1% chances for serious complications such as vascular injury and bowel perforation.