The Utilization Of Hysteroscopy In Clinical Practice - A Narrative Review

Review Article

Abstract

Hysteroscopy is an endoscopic method used to evaluate the uterine cavity. It is a minimally invasive diagnosis and surgical management of endocervical and intrauterine pathologies and the gold standard in assessing and managing intrauterine pathologies. Hysteroscopy provides patient-doctor comfort, making it easier to apply. It is preferred because it can provide patient satisfaction, rapid recovery of the patient, and cost-effectiveness.

Hysteroscopy is ideal for patients with abnormal findings in tests such as hysterosalpingography and saline infusion sonography. Suspicion of an intracavitary lesion is one of them. It is also possible to intervene in polyps and myomas that may cause abnormal uterine bleeding. Submucosal and some intramural fibroids can be treated. Hysteroscopy can be performed for reasons such as abnormal endometrial thickness and postmenopausal bleeding. It is crucial to be able to treat abnormal uterine bleeding without the need for a hysterectomy. Myomectomy, polypectomy, and septoplasty can be performed hysteroscopically. Adhesiolysis can also be performed this way. It is also a suitable method for patients evaluated for infertility. On the other hand, it removes products of conception and intrauterine foreign bodies, and intrauterine devices remain in the cavity.

Hysteroscopy can also help evaluate those with abnormal or echo-like findings on imaging and those with chronic dense leukorrhea. It is an auxiliary tool in pregnancy complications and the treatment of persistent bleeding after pregnancy. This review aims to elucidate hysteroscopy's clinical utilization, indications, and complications to help physicians improve their techniques.