When should hysteroscopy be performed?

Hysteroscopy is a common examination for women. It can visually observe various changes in the uterus and is the "gold standard" for diagnosing uterine diseases. In addition, small lesions can be treated together during hysteroscopy, so hysteroscopy also has a certain therapeutic effect. So, in what situations is hysteroscopic surgery necessary? Below, let’s take a look together.

1. Uterine fibroids, uterine polyps, intrauterine adhesions

If during the gynecological color ultrasound examination, abnormal phenomena are repeatedly found, such as cervical fibroids, uterine intrauterine polypoid hyperplasia, intrauterine adhesions, etc., and abnormalities still occur after follow-up visits of about three months, it is suspected that the uterine wall has degenerated, and hysteroscopy is necessary.

2. Habitual abortion

Habitual miscarriage not only causes great mental stress to women, but also makes it difficult for them to get pregnant again. Repeated miscarriages may be caused by the shape of the uterine cavity and endometrial diseases, such as uterine intracavitary polyps, septate uterus, unicornuate uterus, cystic hyperplasia, etc., and multiple miscarriages may also lead to secondary uterine intracavitary adhesions. Therefore, hysteroscopy can be used to confirm the diagnosis when such a disease is suspected.

3. Infertility

If a woman cannot get pregnant and the cause cannot be found through routine examinations, she needs to undergo hysteroscopy to check whether there are any changes in the uterus or uterine wall. In addition, hysteroscopy can be used to assess the condition of the uterus before IVF implantation. Especially for those who have failed in transplantation, hysteroscopy should be used to eliminate the cause of unsuccessful IVF embryo implantation caused by endometrial disease.

4. Repeated bleeding

Women have a menstrual cycle, and each menstrual period is about 2-8 days. If there is no regular menstrual period, decreased or increased menstrual flow, prolonged menstrual period, etc., and there is no change after about three months of observation, after ruling out pregnancy, it is considered to be a uterine wall disease, and hysteroscopy can be performed to examine the condition of the uterine wall.

Based on the above detailed introduction, I think everyone already has a certain understanding of hysteroscopic surgery. Some female friends feel that hysteroscopy is a surgical treatment and will be painful, so it is difficult for them to accept it. In fact, hysteroscopic surgery can be performed in the hospital outpatient department and will not cause trauma to female friends, so everyone can rest assured. If you are worried about pain, you can also use local anesthesia. After the examination, you can rest for a while and go home.