{"id":176,"date":"2023-09-11T14:24:10","date_gmt":"2023-09-11T12:24:10","guid":{"rendered":"https:\/\/www.isteroscopia.it\/?page_id=176"},"modified":"2023-11-03T14:40:01","modified_gmt":"2023-11-03T13:40:01","slug":"isteroscopia-diagnostica","status":"publish","type":"page","link":"https:\/\/www.isteroscopia.it\/en\/isteroscopia-diagnostica\/","title":{"rendered":"Diagnostic Hysteroscopy"},"content":{"rendered":"
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Diagnostic Hysteroscopy<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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\n \n \n Is it true that diagnostic hysteroscopy is very painful?<\/span>\n\n \n
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In my experience it is very painful and therefore cannot be performed in an outpatient setting without anaesthesia in 2% of cases at most. In the other 98% the examination should actually take 1 or 2 minutes, is painless or at most produces discomfort such as suprapubic cramps similar to those of a menstruation that disappear quickly without any treatment.<\/p>

The success of the examination and the acceptability to the patient depend on the use of correct technique, adequate and efficient instrumentation, the skill of the operator resulting from appropriate training, and the number of hysteroscopies performed<\/p> <\/div>\n\n <\/div>\n\n <\/div>\n\n \n

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Sand abnormal uterine bleeding (A.U.B. metrorrhagia, menorrhagia, menonetrorrhagia, haemorrhagic oozing) occur during fertile age, a gynaecological examination with ultrasound is necessary, and if a thickened endometrium is found, the presence of endouterine neoformations is suspected (polyp, myoma, abortion or placental remnant, etc.), a diagnostic hysteroscopy is necessary<\/span><\/p>

If, on the other hand, they occur during menopause or post-menopause, it is essential to perform a diagnostic hysteroscopy as soon as age and thickness increase. Here too, a distinction must be made between dysfunctional premenopausal bleeding and endouterine pathologies such as polyps, myomas, typical or atypical endometrial hyperplasia, and endometrial cancer.<\/span><\/p>

Diagnostic hysteroscopy makes a definitive diagnosis because it allows the uterine cavity to be explored directly and a targeted biopsy to be performed if necessary.<\/span><\/p> <\/div>\n\n <\/div>\n\n <\/div>\n\n \n

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If the woman is young, of childbearing age or scheduled for assisted fertilisation (IVF), it is possible to first perform medical treatment and then hysteroscopic resection of the malignant lesion, achieve pregnancy and remove the uterus only after giving birth<\/p> <\/div>\n\n <\/div>\n\n <\/div>\n\n \n

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We recommend a diagnostic hysteroscopy at the beginning of medical therapy (so-called time 0) in order to be able to accurately assess any endometrial thickening that may appear later
The subsequent protocol involves an oncological visit with a TV ultrasound every year. If the thickness of the endometrium remains unchanged we do nothing. If, however, it tends to grow then we repeat the hysteroscopy as well as if abnormal uterine bleeding appears.
The control criteria for undergoing a diagnostic hysteroscopy are:<\/p>