How to prepare yourself for office hysteroscopy

Currently, there are advancements in surgical technology. In particular, laparoscopic surgery has increased, resulting in the size of the equipment. Instruments are becoming smaller, while cameras are producing sharper images. has more magnification Including the use of technology such as AI to help evaluate the images seen from the camera. causing endoscopic surgery into the uterus (hysteroscopy) can be done at the clinic. There is no need to stay in the hospital anymore. Also known as Office Hysteroscopy , which uses a camera to look into the uterine cavity, it can be performed both for diagnosis ( diagnostic hysteroscopy ) and surgical treatment ( operative hysteroscopy ).

Indications of office hysteroscopy

Indications for using a hysteroscopy include the following conditions:

Before surgery....

At LIFE by Dr. Pat, the doctor uses the vaginoscopy technique, which eliminates the need to put equipments such as a speculum or tenaculum, causing almost no pain. And the smaller camera size eliminates the need to dilate the cervix. This allows endoscopy to be done at the clinic like an internal examination. or normal ultrasound. Therefore, patients have very little preparation before endoscopy, including:

What are the Advantages and Disadvantages of Office Hysteroscopy?

A hysteroscopy is performed using a cervical scope with a diameter of only 3-4 mm. The endoscope is inserted through the cervix, resulting in no surgical scars. The part of the camera will enter the body only no more than 10 cm. While the camera is working, saline will be released through the end of the camera to help open the uterine cavity to provide space for surgery. It has the following advantages and disadvantages.

Advantages

• No surgical wound 

• There is no need to insert a vaginal dilator or hold the cervix. reduce pain

• small camera This eliminates the need to prepare the cervix before surgery.

• Can be done at the clinic There is no need to stay in the hospital. Make costs cheaper

Disadvantages

• Some pathological conditions may not allow surgery, such as uterine tumors larger than 2 cm.​

What Will Happen During the Procedure?

There are two steps during hysteorscopy. 

Diagnostic Hysteroscopy

Performing a procedure in the uterus will only cause us to feel pain and discomfort when it comes in contact with the uterine wall. Diagnostic endoscopy involves using saline to open the uterine cavity and inserting the endoscope into the uterine cavity without touching the uterine wall at all. There is very little chance of causing pain. 

Therefore, diagnostic hysteroscopy does not include sedatives. So that patients can view the examination from the screen next to the examination bed. The doctor will explain each step of the examination to make the patient aware and relieve their worries. 

Operative Hysteroscopy

After diagnosis of the uterine cavity and confirmation of pathology. The doctor will give you painkillers and help you sleep before the next procedure. A video will be recorded during surgery to explain the patient and a copy will be given to the patient to keep as evidence. Most surgeries take no more than 30 minutes to complete. The patient will go to recuperate in the recovery room for about 1-2 hours. When they wake up, they can travel home. After surgery you can walk. There may be a little bleeding. 

After Hysteroscopy... 

These practices will help the uterus heal and be ready to be a place for the embryo to be implanted, giving us the desired child. 

Reference

• Patsama Vichinsartvichai, Congenital Malformation of Uterus, Bangkok: Printable, 1st printing June 2022.