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    Tag: hysteroscopy

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    11March 2020

    ASHERMAN SYNDROME: ALL YOU NEED TO KNOW.

    Are you having absent periods? Getting cramps but not menstruating? And you have a history of frequent abortion, injury or any scaring. Then you may need to see a gynecologist. You may be suffering from ASHERMAN syndrome.

    What is known as asherman syndrome?

    Asherman syndrome is an uncommon uterine condition. In which scaring of the inner wall of uterus causing adhesion of anterior and posterior wall of the uterus. It may vary from mild to severe. Depending on areas of adhesion and type of adhesion (thick or thin). This condition leaves very little space in the uterus.

    Presented with what kind of symptoms?

    • absent periods or very light periods (amenorrhea or hypo menorrhea)
    • severe cramps during the period date but menstruating sparsely
    • unable to get pregnant

    What is the cause or risk factor of asherman syndrome?

    Near about 90 percent of Asherman syndrome cases occur due to dilation and curettage (D and C) procedures. D &C is usually done for missed abortion, elective abortion, retained placenta after delivery or incomplete abortion.

    If a woman undergone D&C many times then it’s a high risk that a woman may develop asherma syndrome.

    Sometimes adhesions can happen following pelvic surgeries, like a caesarean section or surgeries of uterine or ovarian cyst, fibroid or polyp.

     

    How do I get diagnosed with asherman syndrome?

    • Assessing the symptom you have
    • A blood test to evaluate other illnesses.
    • Ultrasonography.

    Hysteroscopy is the final diagnostic procedure for asherman syndrome. The procedure involves dilatation of the cervix and inserting a hysteroscope. A small slender telescope. It can help to view inside of the womb for any scaring.

    Hysterosalpingogram, inject dye and imaging it’s a pathway in uterine cavity on x-ray.

     

    How to get it treated?

    Operative Hysteroscopy (minimally invasive surgery):

    Asherman syndrome can be treated by using minimally invasive surgery known as an operative hysteroscopy. Minimal invasive surgical instruments are attached to the Hysteroscope (endoscopic surgery instrument) used to separate adhesions. This minimally invasive surgery is performed under general anesthesia.

    Antibiotics and estrogen tablets after surgery. A repeat hysteroscopy (endoscopic procedure) may be done after a few days to check the uterus condition.

    Why Operative Hysteroscopy to be performed for asherman syndrome?

    Operative Hysteroscopy (minimally invasive surgery) is the only technique to remove scaring and improve uterine quality. If you want to conceive and you have to scare of uterus you have to undergo the procedure.

    Usually done on an outpatient basis.

    It’s a minimally invasive surgery, making it tolerable and acceptable to the patient.

    Getting a life inside you is a matter of immense pleasurable feeling. Consult you, gynecologist, if you are having a recurrent abortion. This minimally invasive surgery can do wonder in your life. Visit our site for more information http://diasurge.com

    2March 2020

    EMBEDDED IUDS: DIAGNOSIS AND REMOVAL OF IUDS

    Contraception is the requirement of today’s world. Your gynecologist may help you in choosing methods of contraception best suited for you. These methods are different for different people. Efficiency is also different for every method. Its failure is an emergency as it may result in conceiving. One of the contraception failures is embedded IUDs (intrauterine devices) or missing thread. The original position of a copper T or hormone-releasing IUD is in the fundal wall of the uterine spaces. Its malpositioning is a failure and needs to be checked.

    What are IUDs?

    These are intrauterine devices placed in the uterine cavity by experts to prevent pregnancy. These are usually “T” shaped loaded with copper and hormones. Placement is generally at the fundus of the uterus.

    What is the malpositioning of IUDs?

    The IUD should be placed at the fundus of the uterus, with the arms of IUD fully separated and stretched toward the uterine cornua. The vertical portion of the “T” should extend straight in the uterine cavity. Malpositioned IUDs may be described as follows:

    Located in the lower uterine segment or cervix.

    Rotated. See the below figure

     

    Embedded in the myometrium (inner wall of the uterus) one or both arm of IUDs. See the figure below.

     

    Partially expelled, if the lower part of IUD is out of cervical external os.

    Protruding outside the uterine serosa or wall and entering the abdominal cavity (perforation of the uterus).

    What are the Symptoms of embedded IUD?

    An IUD displacement, expulsion or embedded may cause physical symptoms in some cases, these are the following:

    • Heavy bleeding.
    • Severe cramping.
    • Abnormal vaginal discharge.
    • Sudden lower abdomen pain.

    How IUDs can be removed?

    IUD removal is a very easy procedure done by experts on an indoor basis. To remove the IUD, the gynecologist holds the thread by forceps and pulls it out. If it doesn’t come out by this method then it may require hysteroscopy to visualize and to take it out.

    How hysteroscopy is performed?

    You may require a hysteroscopy to remove the IUD when it gets hooked in your uterine wall. It’s a non – invasive procedure. During this method, your doctor will apply speculum to make space in your genital cervix to insert a Hysteroscope. The Hysteroscope allows tiny tools to enter your uterus to pick up IUD and take it out. You may need anesthesia for this method.

    A missing thread can be managed calmly. Don’t panic and consult your doctor for its removal. Hysteroscopy is available at many gynecological clinics. For further information regarding endoscopes please visit:- http://diasurge.com/