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Diagnostic Hystero-Laproscopy

Blood work and scans are vital to diagnosing infertility, but sometimes they do not give us all the information that is needed. “Problems that cannot be discovered by an external physical examination can be discovered by laparoscopy and hysteroscopy, two procedures that give us a direct look at the pelvic organs, inside and outside.

If an abnormal condition is detected during the diagnostic procedure, such as scar tissues, fibroids, blocked tubes, adhesions, etc operative laparoscopy or operative hysteroscopy can be performed to correct it at the same time, avoiding the need for a second surgery.” - Chief Dr.SamundiSankari.

A Hysteroscopy gives us information from the inside of your uterus. It allows us to figure out why you could be having heavy or irregular periods, abnormal bleeding, repeated miscarriages or failure with IVF.

“A hysteroscopy is a relatively straightforward procedure. For IVF patients, it’s really advisable to have one – along with hormone tests like FSH and LH tests. Uterine problems can cause infertility and miscarriage, and Hysteroscopy is the ideal procedure to identify potential issues before commencing IVF treatment.” – Dr.DivyaSivaraman.

When is a Hysteroscopy recommended?

Our Fertility specialist may recommend that you have a hysteroscopy for one of several reasons, which include the following:

  • To determine the cause of unusual bleeding, such as heavy period or menopause
  • To check for polyps (small growths in the lining of your uterus) or fibroids

  • To see if there are any abnormalities inside your uterus that could prevent you from getting pregnant or cause miscarriages
  • remove scar tissue within your uterine lining

A Diagnostic Hysteroscopy takes 10 - 30 minutes, and is usually done under general anaesthesia. During the procedure, an instrument called a hysteroscope - which is a type of telescope with an attached camera, is passed into your uterus through your cervix. We then examine the inside of your uterus completely for any kind of abnormalities and take samples of your uterine lining for a biopsy. Sometimes, a sterile fluid such as saline or carbon dioxide is used to expand the cavity of your uterus and give our specialist a better view. You will be discharged later the same day.

During an Operative Hysteroscopy, we would simultaneously remove abnormalities such as intra cavity fibroids, polyps, scar tissue, and blocks in the tube openings. In such a case you would be asked to stay in the hospital for a few days while we monitor you.

Alternatives to Hysteroscopy

At Srushti, we could recommend other tests to see the inside of your uterus instead of a Hysteroscopy, depending on your symptoms and circumstances. A pelvic ultrasound or an MRI scan is often used to make a diagnosis. An endometrial biopsy is another alternative, during which samples of your womb lining are gently suctioned out for study.

If you have questions or would like more information about Hysteroscopy procedure, or would like to get in touch with our specialists, please email us at sfrc@srushtihospital.com.

A Diagnostic Laparoscopy allows us to look inside your pelvis, at your fallopian tubes, ovaries and uterus, and is usually done along with a dye test. It helps us detect gynaecological disorders such as endometriosis, uterine fibroid, ovarian cysts, adhesions (scar tissue), blocked tubes and ectopic pregnancy (tube pregnancy). During the procedure, the surgeon could also take a small sample of tissue for biopsy to test it for malignancy.

When is a Laparoscopy recommended?

We may recommend you to undergo laparoscopy as part of regular evaluation if you have pain in your abdomen or symptoms suggestive of pelvic disease, or if you have had pelvic infections in the past. “You could also be asked to do the procedure if you are having trouble getting pregnant”- Chief Dr Sankari

A Diagnostic Laparoscopy, which takes about 40 minutes typically, is performed under general anaesthesia. During the procedure, the surgeon pumps gas into your abdomen to expand it and separate your organs. Then, a tiny telescope with an attached camera is introduced through a small incision in your belly button to take a look inside your uterine cavity at your uterus, ovaries and fallopian tubes. This is an out-patient procedure and you will be discharged the same day.

In an Operative Laparoscopy, our specialists simultaneously treat issues that are detected during the procedure, such as ovarian cysts, scar tissue around the fallopian tubes and ovaries, blocked tubes, endometriosis and ectopic pregnancy. If you have had an Operative Laparoscopy, you would have to stay at the hospital for 3 – 5 days after the surgery.

Alternatives to Laparoscopy

Not all women are candidates for Laparoscopy, and so at Srushti, we consider all the facts at hand before we make the recommendation. If Laparoscopy is not suitable for you, we could ask you to do an ultra sound (most commonly a trans-vaginal ultrasound) or an MRI, which help us diagnose issues such as fibroids.

If you have questions or would like more information about Laparoscopy procedure, or would like to get in touch with our specialists, please email us at sfrc@srushtihospital.com.