Pre IVF Hysteroscopy
Pre IVF Hysteroscopy
Hysteroscopy is a minimally invasive treatment in which the doctor inserts a thin, lighted tube into your uterus to examine the abnormalities. In certain cases, it is the finest technique to inspect your uterus, but is it always essential to have a hysteroscopy before IVF.
Many gynecologists do hysteroscopy before IVF to check that the uterus cavity is normal and ready to accept embryos.
How is hysteroscopy performed?
Diagnostic hysteroscopy is a non-invasive treatment that may be done under general anesthesia or sedation. A telescope attached to a small tube is then pushed through your vagina and cervix into your uterine cavity.
The surgeon rotates it around to inspect the uterine wall for anomalies such as fibroids, polyps, septa and scar tissue.
How is hysteroscopy used in the treatment of infertility?
Some hospitals undergo hysteroscopy on every woman before IVF, claiming that this is the best way to guarantee the uterine cavity is healthy.
Hysteroscopy may be recommended to obtain a thorough look at the insides of the uterus, especially if you’ve had unsuccessful IVF cycles or repeated losses.
When to screen for Ovarian Cancer?
The researchers found that regular hysteroscopy prior to IVF is advised.
There are less intrusive procedures, such as transvaginal ultrasound of the uterine cavity, that may be used to inspect the insides of a uterine cavity and only be followed up with a surgical hysteroscopy if a problem is identified.
Why do doctors perform hysteroscopy before IVF?
The most prevalent causes of recurrent loss are embryo quality or the mother’s immunity, neither of which can be addressed with a hysteroscopy.
The doctors who routinely perform hysteroscopy on patients claim that this is a minimally invasive procedure and if it allows to increase the chances of pregnancy for even one patient by detecting some uterine problem.
The doctor may readily assess the thickness of the endometrium with a simple transvaginal ultrasound, and if the doctor suspects anything, a sonohysterogram can be performed to obtain a more detailed image of the uterine cavity.
These procedures are very cost – effective and non-invasive and if everything in these investigations is normal, there is little chance that the doctor will find anything in hysteroscopy.
Is it necessary for IVF patients to get a hysteroscopy?
If your doctor/clinic persists, get a second opinion to determine if hysteroscopy is really necessary in your case. If, however, you have any uterine growths that make it obligatory, do not hesitate to go through with it.
Benefits of hysteroscopy before IVF
Diagnosis of uterine anomalies
Polyps and uterine fibroids are two of the most prevalent causes of infertility. Polyps are abnormal tissue growths in the uterine lining (endometrium) that may be detected using hysteroscopy. Fibroids are noncancerous muscular growths inside the uterine walls that may be detected with a hysteroscopy guided biopsy.
The tissue will be removed by hysteroscopy when the doctor has diagnosed either problem. Fertility treatments such as IVF are often more successful because it makes the uterus more susceptible to implantation.
A hysteroscopic examination may also reveal if a woman has a uterine septum or an irregularly shaped uterus. Both conditions can prevent a woman from becoming pregnant or from carrying a pregnancy to term. They can be corrected surgically.
Chronic infection must be diagnosed
The use of hysteroscopy guided biopsy to determine chronic infections that influence female fertility is an effective method. Approximately 15% of IVF patients have chronic infections. Furthermore, it is believed that up to 42% of individuals with repeated implantation failure following IVF have a persistent infection. According to research, after a persistent infection is treated, pregnancy rates following IVF therapy increase.
Endometriosis affects one out of every ten women, and endometriosis is diagnosed in almost half of patients with unexplained infertility. Endometriosis may induce inflammation of the uterine lining and lead to implantation failure.
Endometriosis may be diagnosed by examining endometrial tissue obtained through hysteroscopy guided biopsy for particular markers.
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