Hysteroscopy in Reproductive Medicine
Hysteroscopy is an endoscopic procedure used for visualization and assessment of the uterine cavity as part of gynecological and reproductive medicine evaluation.
The procedure may be diagnostic or operative depending on the clinical condition and treatment planning. A hysteroscope, which is a thin lighted telescope-like instrument, is inserted into the uterine cavity to allow visualization of the endometrial cavity and related structures.
Fluid media may be utilized under controlled pressure during the procedure to support distension and visualization of the uterine cavity.
Office hysteroscopy may be performed in selected situations without anesthesia, while anesthesia may be utilized depending on the planned procedure, patient comfort, and clinical considerations.
Hysteroscopy may be utilized for evaluation of conditions involving the uterine cavity including polyps, adhesions (synechiae), fibroids, congenital uterine abnormalities, and abnormal uterine bleeding where clinically indicated.
In selected situations, operative hysteroscopic procedures may also be performed as part of gynecological or reproductive treatment planning.
Hysteroscopy-directed biopsy procedures may additionally be utilized for tissue evaluation and histopathological assessment where clinically indicated.
Hysteroscopy forms part of individualized gynecological and reproductive medicine assessment protocols depending on clinical findings and treatment requirements.