The uterus is compared to the castle where the baby stays in the mother's body, and the hysteroscopy uses a magnifying lens to enter the castle to see if there is any abnormality and whether it is suitable for "baby stay".
If there are potential risk factors, doctors will eradicate them and prepare them for embryo transfer. This is also the reason why doctors sometimes recommend going for a hysteroscopy before doing IVF.
Hysteroscopy is a common examination and means of enlarging the uterine cavity by liquid, and placing a cold light source in the uterine cavity or cervical canal for direct observation or magnified image display through a camera monitoring screen. Under hysteroscopy, most lesions of the uterine cavity and cervical canal can be clearly visualized and can be made not only to make a diagnosis, but also to be performed simultaneously**. Therefore, hysteroscopy is not only an examination method, but also a surgical method, small examination operations can be done on an outpatient basis, and surgery needs to be performed in the operating room.
Whether or not a hysteroscopy is required before IVF depends on the individual. If the endometrium is found to be in poor condition or the uterine fibroids are large and have compressed the endometrium, the doctor recommends hysteroscopic surgery for reexamination or treatment before performing an IVF cycle**. During ovulation induction, if the doctor finds abnormalities during ultrasound monitoring of the follicles and endometrium, hysteroscopy may also be recommended before transplantation.
Indications for hysteroscopy include symptoms of uterine bleeding such as heavy menstrual bleeding, frequent menstrual bleeding, prolonged menstruation, irregular uterine bleeding, infertility and recurrent spontaneous abortion. Hysteroscopy can reveal some abnormalities such as protrusions, polyps, secretions, and a thin or thick endometrium.
The advantage of hysteroscopy is that it can be diagnosed and intrauterine lesions can be diagnosed in a short period of time, improving the chance of conception.
At the same time, in the process of hysteroscopy**, the endometrium is washed by uterine distention, and the uniform and mechanical expansion of the uterine cavity may cause short-term changes in the expression of certain genes in the endometrium, and promote the release of growth factors and cytokines conducive to embryo implantation in the endometrium, thereby increasing the pregnancy rate.
Before performing a hysteroscopy, it is important to abstain from sexual activity, prepare routine medical check-ups, and choose the best time for the examination.
After surgery, abstain from sexual intercourse, bath for at least 2 weeks, and give appropriate antibiotics. If there is an abnormal situation such as increased bleeding, you should seek medical attention in time.