In recent years, the incidence of adenomyosis has increased significantly. This may be due to increased detection of this disease, particularly with the use of more sophisticated diagnostic techniques, including endoscopic studies, such as diagnostic hysteroscopy. Hysteroscopy in the adenomyosis is now one of the main methods.
Hysteroscopy at adenomyosis - what is it
Hysteroscopy - a method of endoscopic diagnosis and treatment, which allows to inspect the cervical canal, uterus and fallopian tubes mouth using hyperfine optical device - hysteroscope. Hysteroscope is inserted via the vagina first at the cervix of the uterus, then uterus.
Diagnostic hysteroscopy can be identified and a good look at the monitor condition of the uterine wall. In particular by means of a hysteroscope can identify adenomyosis, which has characteristic features, and take a piece of tissue for histological examination. Therapeutic hysteroscopy can remove small adenomioznye nodes located directly beneath the endometrium.
Hysteroscopy - a serious procedure that is performed under general anesthesia and requires a preliminary examination, as it has a number of contraindications. This acute illness, exacerbation of chronic diseases, cardiovascular and respiratory failure, renal dysfunction and liver, cachexia (wasting), bleeding disorders, signs of inflammation or any other critical processes in the laboratory analyzes, the signs of inflammation in the smears from genital bodies.
One day prior to hysteroscopy can not use the vaginal douche and drugs, and on the day of hysteroscopy can not take food or drink, only to rinse your mouth. Hysteroscopy is performed immediately after menstruation (6-9 days of the menstrual cycle).
Once the woman made anesthesia in cervical canal hysteroscope is introduced, which is transmitted from the image on the screen. Thus, the doctor can see with their own eyes, and even to the desired increase in the internal surface of the uterus. First he examines the cervical canal, and then the cavity of the uterus, the opening of the fallopian tubes, estimating the thickness, uniformity and color of the mucous membrane of these organs. Inspection allows you to confirm or withdraw the pre-diagnosed. If necessary, during hysteroscopy weave taken for histological examination.
Hysteroscopy - examination of the uterus inside
over the next two days may cause mild spastic pain in the abdomen
Abdominal pain: when to sound the alarm?
. They can be removed by means of antispasmodics and analgesics, but often they are alone. During the first two days after gisterovkopii women are advised not to take a bath (shower possible), use tampons
How to use sanitary pad - basic precautions
, Douche. It should also eliminate the great physical exertion, cold, carefully observe good personal hygiene. Sex after diagnostic hysteroscopy are undesirable for a week.
Results of the study
Hysteroscopy reveals adenomyosis, determine its form (diffuse, nodular), location, size and extent of the endometriosis sites, as well as aiming to take the material for histological examination. It clarifies and completes the picture of transvaginal ultrasound.
Inspection of the inner wall surface of uterine adenomyosis reveals endometriotic mouth moves as a dark red pinholes against the pale pink endometrial pouring their blood. If areas of adenomyosis much the appearance of the endometrium similar to a honeycomb. The skilled artisan then can make a correct diagnosis in more than 90% of cases. For inexperienced professionals it is not so simple - the accuracy of the diagnosis may not exceed 30%. The problem is that after scraping the mucous membrane of the uterus, in which damaged the integrity of the small blood vessels in the basal layer of the endometrium, bleeding vessels can be very similar to the endometrial moves.
Thus, features of adenomyosis
Symptoms of adenomyosis - characteristic and recognizable
when hysteroscopy is endometrioid moves against the pale pink lining of the uterus (a symptom of honeycomb), expansion and change in the shape of the uterine cavity, the specific looped pattern of the walls of the uterus.
If necessary, the target biopsy site tissue of the myometrium (muscle layer of the uterus) - this is the most informative method of detecting adenomyosis.
Hysteroscopy - is an effective method of diagnosis, which nevertheless requires a special training physician.