Office hysteroscopy

Area of Science:

• Gynecology
• Minimally Invasive Surgery
• Diagnostic Procedures

Background:

• Office hysteroscopy has evolved into a simple, safe, and effective diagnostic tool for intrauterine evaluation.
• The advent of small-caliber endoscopes has significantly facilitated this procedure.
• It is applicable for screening patients with abnormal uterine bleeding or suspected intrauterine pathology.

Purpose of the Study:

• To evaluate the efficacy and application of office hysteroscopy as a diagnostic and therapeutic tool.
• To highlight its role in screening and managing intrauterine conditions.
• To emphasize the importance of patient selection and procedural technique.

Main Methods:

• Office hysteroscopy utilizing small-caliber endoscopes.
• Direct targeted biopsies of suspicious lesions.
• Hysteroscopy combined with suction aspiration for endometrial sampling.
• Transvaginal sonography as a complementary diagnostic tool.

Main Results:

• Office hysteroscopy provides immediate results and allows for direct biopsies and treatment of intrauterine conditions.
• The procedure is quick, safe, and minimally invasive, with low patient morbidity.
• Combined hysteroscopy-suction sampling is effective for evaluating abnormal uterine bleeding.
• Transvaginal sonography complements hysteroscopy by identifying lesions not visible hysteroscopically.

Conclusions:

• Office hysteroscopy is a valuable, minimally invasive procedure for intrauterine evaluation, screening, and treatment.
• Appropriate patient selection, timing (early follicular phase), and meticulous technique are crucial for success.
• Anesthesia or analgesia may benefit patients undergoing hysteroscopy with biopsy or intervention.