The uterus is the cradle of the fetus, and the state of the uterine cavity directly affects the pregnancy outcome of IVF. Clinically, many patients often ask: Before IVF transplantation, do we have to do hysteroscopy? Does hysteroscopy help increase IVF pregnancy rates?
Today, let's take a look at the relevant knowledge about hysteroscopy!
What routine tests can assess the endometrial environment?
1. Vaginal ultrasound B is a more commonly used examination method for evaluating endometrial lesions, which can observe the thickness and morphology of the endometrium, as well as the blood flow of uterine arteries, and screen for obvious uterine lesions, such as uterine adhesions, endometrial polyps, submucosal fibroids, uterine malformations, etc., but some lesions are difficult to diagnose.
2. Hysteroscopy is a minimally invasive gynecological diagnosis and treatment technology, using the front of the lens body to enter the uterine cavity, which has a magnification effect on the observed parts, because it is intuitive and accurate, it has become the main examination method for gynecological vaginal bleeding diseases and intrauterine lesions.
Which patients require hysteroscopic surgery?
Not everyone needs hysteroscopy in IVF treatment. If the patient has found poor endometrial conditions or large uterine fibroids and other special circumstances during the previous B ultrasound examination, the doctor will recommend that the hysteroscopic surgery be reviewed or treated first, and then enter the IVF cycle treatment; or in the process of ovulation induction, the doctor will find abnormalities when the B ultrasound monitors the follicle and the lining of the egg several times, and will inform the patient that the whole embryo needs to be frozen after egg retrieval, and then transplanted after hysteroscopy.
What exactly does hysteroscopy do?
1. Evaluate the uterine cavity status of infertile patients
Through hysteroscopy, endometritis, endometrial polyps, uterine adhesions, and abnormal uterine cavity morphology can be found. On traditional ultrasound, small endometrial polyps may be missed, but hysteroscopy can be diagnosed under direct vision.
Multiple studies have shown that about 40% of infertility patients have uterine abnormalities on hysteroscopy, and many lesions have the same pregnancy rate as normal uterine cavity after treatment. Therefore, for such patients, hysteroscopy can improve IVF pregnancy rates.
2. Convenient transplantation
Hysteroscopy can reduce the difficulty of embryo transfer by dilating the cervical canal, assessing the orientation of the cervical canal and uterine cavity, and clarifying the shape and depth of the uterine cavity.
3. Early intervention treatment to maintain a good uterine cavity environment
Hysteroscopy can remove endometrial polyps and submucosal fibroids under direct vision, decompose adhesions, and remove uterine mediastinum. Patients pay more attention to postoperative recovery and maintain a healthy and good uterine cavity environment, which can improve the pregnancy rate of IVF to a certain extent.
Will hysteroscopic manipulation be unbearable?
This depends on the specific type of operation. If it is hysteroscopy, generally do not use general anesthesia, this time to see the patient's own tolerance and cervical morphology.
Some women are very sensitive to pain, the cervix is narrower, then there may be a certain pain, at this time, you can choose general anesthesia to assist in completing the operation, sleep is over, so don't worry too much.
Shenzhen Zhongshan Urology Hospital
In 1986, the First Affiliated Hospital of Sun Yat-sen Medical University sent a medical team headed by Professor Mei Hua to support the development of health in the Shenzhen Special Administrative Region and established the Shenzhen Medical Center of Sun Yat-sen Medical University. In 1997, it was upgraded to Shenzhen Urology Hospital of Sun Yat-sen Medical University. In the same year, Professor Zhuang Guanglun, the "Father of IVF in China", personally founded the first IVF center in Shenzhen in this hospital, which was one of the first reproductive medicine centers approved by the health department to implement assisted reproductive technology, and the first case of IVF babies in Shenzhen was born in our hospital in 1998. In 2003, the hospital was renamed Shenzhen Zhongshan Urology Hospital.
Our hospital focuses on reproductive medicine as the key development direction, and the Reproductive Medicine Center is a standing committee unit of the Reproductive Medicine Branch of the Chinese Medical Association and a vice chairman unit of the Reproductive Medicine Branch of the Guangdong Medical Association. The success rate of IVF in the Reproductive Medicine Center has maintained the advanced level in China, and the diagnosis and treatment rate of recurrent abortion and repeated embryo implantation failure in the Reproductive Immunization Diagnosis and Treatment Center is at the international leading level. Since the establishment of the hospital, around the reproductive medicine year by year to open reproductive fertility center, reproductive immunity diagnosis and treatment department, reproductive fertility Chinese medicine hall, reproductive urology and andrology, gynecology, reproductive medicine clinical research center and other special departments, up to now, our hospital has been difficult to conceive families successfully created more than 30,000 IVF babies.
Hospital mission: to create a healthy life, round your family.
Hospital vision: with reproductive medicine as the main body, to build a modern specialized hospital with cultural value and soul, responsible for patients, employees and the government, and with leading technology.
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