Abnormalities of the inner lining of the uterus will prevent implantation of the embryo or could lead to miscarriages.
It is therefore extremely important to correct these abnormalities before beginning fertility treatment.
An operative hysteroscopy is a surgical intervention in which a tube is inserted into the uterus via the neck of the uterus. The neck of the uterus contains elastic tissue that can be stretched to allow the tube through. As a result, no incisions are made. The uterus is then filled with fluid (glycine) so that the inner lining can be inspected properly. Abnormalities such as polyps or myomas, growths or a septum can then be removed with an electric loop.
Practical info : You will be given an appointment with one of the gynaecologist-hysteroscopists who will discuss the arrangements for the operation with you. The operation is carried out in the day surgery. You will receive a brochure describing how the day surgery operates.
Your health must be assessed before any surgical intervention. The surgeon will generally discuss this with you. A blood sample is always required to determine blood group and for a blood clotting test.
The risks of the operation are limited. There is a chance of infection (<1%). There is a chance of bleeding (<1%). There is a chance of accidentally perforating the uterus (extremely rare). Very occasionally it may be necessary to interrupt the operation and proceed with a classic operation via abdominal incision or a laparoscopy. Sometimes an operative hysteroscopy is interrupted because too much fluid (glycine) has accumulated in the woman’s body. The operation will then be completed at another time.