Role Of Hysteroscopy In IVF By Conceive IVF

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Role Of Hysteroscopy In IVF
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Introduction

• If youre investigating fertility problems and
  looking into IVF as a treatment, you may have
  heard of hysteroscopy.
• Hysteroscopy is a procedure that allows your
  doctor to look inside your uterus in order to
  diagnose or inspect for any abnormality.
• Hysteroscopy is done using a hysteroscope, a
  thin, lighted tube that is inserted into the
  vagina to examine the cervix and inside of the
  uterus
• Since hysteroscopy examines the lining and
  interior of the uterus, Hysteroscopy may be
  recommended as one step in the evaluation of a
  number of gynecological problems, including
• Abnormal vaginal bleeding
• Retained placenta or products of conception after
  a birth or miscarriage
• Congenital (inborn) anatomical abnormalities of
  the female genital tract
• Polyps or fibroid tumors inside the cervical
  canal or inside the uterine cavity

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Hysteroscopy Procedure

• What procedures can a gynecologist perform
  with a hysteroscope?
• After a general anesthesia is given the
  hysteroscope is inserted into the uterus using a
  salt solution (NACL) or a sugar solution
  (Sorbitol) to distend the uterus and obtain
  visualization of the uterine cavity.
• After completing the inspection of the uterine
  cavity several different instruments may be
  inserted through the hysteroscope to help treat
  uterine fibroids, heavy menstrual bleeding and
  polyps.
• The surgeon also attempts to visualize the
  openings to the fallopian tubes (tubal ostia).
• Polyps and fibroids Hysteroscopy is used to
  remove these non-cancerous growths found in the
  uterus.
• Remove adhesions Also known as Asherman's
  Syndrome, uterine adhesions are bands of scar
  tissue that can form in the uterus and may lead
  to changes in menstrual flow as well as
  infertility.

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Hysteroscopy Treatment of recurrent
implantation failure recurrent abortions

• Role of hysteroscopy in recurrent abortions
• Recurrent pregnancy loss means two or more
  spontaneous pregnancy losses before 20 weeks of
  gestation.
• One of the important causes of recurrent
  pregnancy loss is Uterine abnormality which can
  be best diagnosed and treated effectively by
  doing hysteroscopy.
• Hysteroscopy is an important diagnostic and
  therapeutic tool to for intrauterine reasons of
  pregnancy loss like intrauterine adhesions,
  polyp, submucous fibroid, Mullerian
  abnormalities. Thats why woman after two
  abortions can be advise hysteroscopy that will
  improve pregnancy outcome.
• Role of hysteroscopy in recurrent implantation
  failure (RIF)
• Recurrent Implantation failures means three times
  failure of good quality embryo to implant onto
  the uterine wall during IVF treatment.
• Implantation failure may be due to embryonic
  factor or uterine factor. The quality of embryo
  can be accessed microscopically and with the help
  of preimplantation genetic screening, but its
  difficult to evaluate uterine receptivity. Minor
  pathologies if missed on sonography(TVS) which
  can be the cause of IVF failure can be diagnosed
  and treated on hysteroscopy.

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What is IVF? (In Vitro Fertilization)

• Eggs and sperm are taken and fertilized outside
  the body in a laboratory to produce embryo which
  is then transferred into the uterus by the
  infertility specialist.
• This transferred embryo should get attached to
  the inner lining of the uterus (endometrium) and
  start growing (Implantation)and develop into a
  successful pregnancy.
• The most important success determining step of
  IVF is Implantation which in turn depends on
  endometrium and its receptivity.

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Role Of Hysteroscopy In IVF

• Unsuccessful IVF attempts usually are due to
  factors in the embryo, such as genetic problems,
  or issues with the woman's uterus.
• In the past many fertility clinics routinely
  performed hysteroscopy on women who had failed
  IVF cycles, to look for uterine growths or scar
  tissue and remove them
• Hysteroscopy Is It Essential Before IVF?
• There is no role of routine diagnostic
  hysteroscopy for evaluation of uterine cavity
  before IVF in each and every case.
• With the advent of very good trans-vaginal
  sonography (TVS) and sono-salphigography it is
  not warranted to do diagnostic hysteroscopy in
  all IVF patients
• only in those patients with abnormal findings on
  trans-vaginal sonography or abnormal
  sono-salphingogram can be treated with
  therapeutic hysteroscopy.

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What Are The Benefits Of Hysteroscopy?

• Hysteroscopy is a good diagnostic and therapeutic
  tool in IVF.
• In case of recurrent implantation failure and
  recurrent abortions it is helpful in correction
  of pathologies and thus improving pregnancy
  outcome and would be helpful in saving the cost
  of patient who are undergoing repeated IVF cycle,
  where failure occur due to missed pathologies.

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How Safe Is Hysteroscopy?

• Hysteroscopy is a relatively safe
  procedure. However, Just like any medical
  procedure, you could have some complications from
  a hysteroscopy, including
• Problems from the anesthesia
• Infection
• Tearing or damage to your cervix, though this is
  rare
• Problems with gas or fluid from the uterus
• Damage to nearby organs like the bladder, bowel,
  or ovaries
• Pelvic inflammatory disease
• Reaction to the substance used to expand the
  uterus.
• If you experience symptoms like a fever, severe
  abdominal pain, or heavy bleeding after the
  procedure, call your doctor immediately

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About Conceive IVF

• Conceive IVF is a Brainchild of Dr Madhuri Roy
  Chetan Roy with the objective to bring happiness
  in lives of Childless couples by offering world
  class IVF services to our people of India.
• We brought Ethical practices, state of the art
  technology with European standard. Headed by Dr.
  Madhuri Roy.
• Our Conceive IVF is based on Ethos of
  International standards and Ethical practices
  with Patients centric approach.
• Our patients can enjoy the whole spectrum of
  wellness without travelling Abroad.
• Conceive IVF is one of the best in India in
  fertility technology providing full suite of
  fertility gynecology services.

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• THANK YOU
• Dr. Madhuri Roy
• conceiveivf18_at_gmail.com
• 8177899161