Hysteroscopy is gold standard in the evaluation of uterus. Evaluation of uterine cavity is a must in patients with:
- Infertility
- Abnormal uterine bleeding
- Repeated miscarriages
- Recurrent IVF failures
- Hysteroscopy enables direct visualization of endometrial cavity and allow us to simultaneously correct the abnormality. Pre IVF Hysteroscopy significantly improves the chances of implantation.
- Polypectomy: Polyps are small endometrial growths which hinder implantation and may cause abnormal uterine bleeding.
- Myomectomy: The submucous fibroid which grows inside the uterus may not be accessible to laparoscopy, hence removed through hysteroscopy.
- Septal resection/ Metroplasty: To correct congenital malformation of uterus where uterus is divided partially or completely by a septum or the cavity is T shaped.
- Hysteroscopic Synechiolysis: Synechia are the bands of scar tissue which developed as a result of previous pelvic infection or D&C for abortion. Synechia reduce the size of endometrial cavity and negatively affect implantation. By synechiolysis the size and shape of uterine cavity can be restored.
- Cornual Catheterisation: When the tubes are blocked from the cornual ends, a guide-wire is inserted under hysteroscopic guidance to open the blocked tubes.
- Removal of foreign body or impacted Cu-T, endometrial ablation under Hysteroscopic guidance.