This is an excellent method for diagnosing infertility in women that causes minimal stress to the woman examined. Diagnostic hysteroscopy helps the reproductive gynecologist assess the integrity of the endometrium cavity,i.e. the area where the embryo is implanted, study its adequate extensibility and rule out any pathological factors that cause infertility, such as fibroids, polyps, septate uterus and endometrial adhesions.
Given the fact that it is not always possible to diagnose all of the problems using ultrasound scans, it is essential that every woman being investigated for infertility and before embarking on IVF attempts undergoes a diagnostic hysteroscopy. Hysteroscopy clearly outperforms hysterosalpingography as the diagnosis of pathological conditions such as scars and adhesions to the endometrium is performed by direct vision.
The surgery is performed without incision under mild sedation, using a 2.8-4 mm thin telescope, which is inserted from the vagina through the opening of the uterine cervix into the endometrial cavity. To dilate the endometrial cavity and check its distensibility, use some stretching agent (such as saline solution or carbon dioxide).
The diagnosis of the condition is immediate and the patient leaves after 1-2 hours after we have discussed the findings with her.