OR hysteroscopy is one of the most important diagnostic and therapeutic examinations in modern gynecology. It is a minimally invasive procedure in which the gynecologist inserts a thin instrument, the hysteroscope, through the vagina and cervix.

The hysteroscope has a high-definition camera and lighting, allowing direct and accurate visualization of the interior of the uterus. Thus, the doctor can diagnose and treat many pathologies at the same time. gynecological situations, without the need for open surgery. 

WHEN IS HYSTEROSCOPY RECOMMENDED?

Hysteroscopy can be either diagnostic or interventional (therapeutic), depending on the purpose for which it is performed. The most common indications are:

• Unexplained bleeding: Especially in women after menopause or in cases of heavy menstruation.
• Diagnosis and removal of polyps or fibroids that develop in the endometrial cavity.
• Infertility investigation or recurrent miscarriages, where anatomical abnormalities of the uterus are often discovered.
• Removal of foreign bodies, such as intrauterine devices (IUDs) that cannot be removed in any other way.
• Abnormality diagnosis such as endometrial adhesions (Asherman's syndrome) or congenital uterine abnormalities (e.g. septum).

PROCEDURE AND PREPARATION

Hysteroscopy is usually performed- without cuts, without the need for hospitalization. In some cases, local anesthesia may be used, while in more complex procedures, sedation or general anesthesia is applied. The procedure takes from 10 to 30 minutes, depending on the case.

The gynecologist inserts the hysteroscope and fills the uterus with a special solution or gas, in order to achieve better visibility. Through special micro-tools, polyp removal, adhesion dissolution or even minor surgical procedures can be performed without an open incision.

Before the examination, the woman is advised to avoid food or fluids for a few hours (if anesthesia is involved), while it is advisable to have a basic gynecological examination and blood tests beforehand.

BENEFITS OF HYSTEROSCOPY

Hysteroscopy has been established as the gold standard approach in the diagnosis of endometrial diseases. Its main advantages are:

• Minimally invasive procedure without incisions.
• Rapid recovery and short duration and immediate return to daily activities.
• High accuracy in diagnosing diseases.
• Possibility of therapeutic intervention at the same time.
• Low risk of complications compared to traditional surgical methods.

POSSIBLE COMPLICATIONS

Although it is a safe test, in rare cases the following may occur:

• Mild pain or cramps after the examination.
• Light vaginal bleeding for 1-2 days.
• Rarely, infections or injury to the cervix/uterus.

With proper preparation and specialization of the doctor, the risks are reduced to a minimum.

CONCLUSION

Hysteroscopy is a safe, effective and painless method that offers valuable information about women's health and often allows for the immediate treatment of pathologies. Early diagnosis through hysteroscopy contributes significantly to improving fertility, preventing more serious complications and ensuring the health of the uterus.

If you are experiencing unexplained symptoms or difficulty conceiving, consult your gynecologist to consider whether hysteroscopy is the right option for you. Early diagnosis can make the difference.