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Advanced Examinations

Advanced Examinations




1. Hysteroscopy (H-scopy)

Purpose:
H-scopy uses a hysteroscope to examine if the uterus and uterine lining are normal. There is a direct correlation between the condition of the uterus and embryo implantation.

Procedure:
Patient will be asked to lie on her back on the examination table with feet raised and supported by stirrups, similar to a pap smear or vaginal exam. An optical instrument connected to a video unit with a fiber optic light source is inserted to check the conditions of the uterus.

If only a simple examination is required, there is no need for anesthesia. The whole process takes about 3 mins, after which, the patient is asked to rest for another 30 mins. For further examination and operation, anesthesia will be administered and the process will take about 5 mins. Resting period is an additional 1-2 hours.

When to test:
Best time to test is after the last menstrual cycle and before ovulation takes place for the next cycle. If it is a regular cycle of 28 days, the best time will be in the morning of the 7th to 11th day.

Advantages:
H-Scopy is a higher form of test utilized for difficult pregnancies. It is very safe and accurate. There can be a 100% accuracy rate through visual examination via the hysteroscope.

New advancements in technology in H-scopy uses a smaller, thinner optical instrument of only 2-3mm diameter, thus, the procedure is almost painless.

Disadvantages:
Based on the findings, it is possible that patient will be asked to undergo further tests under anesthesia. There is a slim chance patient will experience some of the risks from the administering anesthesia, such as infection, allergic reactions and bleeding.

Slight bleeding during the period between an H-scopy procedure and the next menstrual cycle is normal.

Reminders:
For couples with continued problems in infertility for a number of years and who have opted for in-vitro fertilization (test tube baby), it is recommended that they undergo an H-scopy exam to determine uterus conditions.

Fasting is required for eight hours prior to an H-scopy exam – no food or water intake.

After the examination, slight bleeding or abdominal pains during the period between an H-scopy procedure and the next menstrual cycle is normal.


Stork Fertility Center Stork Fertility Center Author