Risk of Hysteroscopy in IVF
Hysteroscopy is a surgical technique commonly used in the process of IVF treatment, which is used to assess the health of female reproductive system. Although hysteroscopy is safe and effective, there are still some risks and complications. The following will elaborate on the possible risks of hysteroscopy in IVF treatment from several aspects.
Risk of endometrial perforation
In hysteroscopy, a slender hysteroscope enters the uterine cavity through the cervix for examination. If the operation is not careful, the slender hysteroscope may break through the uterine wall. This complication of penetrating the uterine wall is called endometrial perforation, which may lead to bleeding, infection and scar formation of the uterine wall. Although the risk of endometrial perforation is relatively low, it still needs to be operated carefully and experienced professional doctors should be selected for surgery.
Perforation of the intima may lead to bleeding, and in serious cases, surgery may even be required to stop bleeding. In addition, perforation sites are also prone to infection and may need to be treated with antibiotics. For women with a history of uterine surgery, the risk of endometrial perforation may increase.
Risk of intrauterine adhesions
During hysteroscopy, sometimes the endometrium is scraped or damaged. These operations may cause the formation of intrauterine adhesions, also known as Asherman syndrome. Uterine cavity adhesion means that the endometrium is glued together, which may lead to abnormal menstruation, infertility and increased risk of abortion.
In order to reduce the risk of intrauterine adhesions, doctors will operate carefully during hysteroscopy to minimize the damage to the endometrium. Some studies also show that the use of biological anti adhesion agents or special biological coverings to cover the endometrium after surgery can reduce the risk of uterine adhesion.
Risk of infection
Because of the particularity of hysteroscopy, bacteria may be introduced during the operation to cause infection. In addition, hysteroscopy may also cause urinary tract infection or genital tract infection. The key to prevent infection is preoperative and postoperative disinfection and the use of antibiotics.
Infection is a rare complication of hysteroscopy. Rational use of antibiotics, preoperative and postoperative disinfection, and selection of qualified hospitals and doctors for surgery can reduce the risk of infection.
Other risks
In addition to the risks mentioned above, hysteroscopy may also cause some other complications, such as uterine outlet stenosis, fallopian tube injury and subcutaneous hematoma. Although these risks are low, it is still necessary to be cautious during the operation, and select appropriate surgical techniques and experienced doctors for operation.
In conclusion, hysteroscopy is a very important surgical technique in IVF treatment. Although there are some risks and complications, reasonable selection of hospitals and doctors, preoperative preparation and postoperative care can minimize these risks. If you plan to perform hysteroscopy, it is recommended to fully communicate with the doctor and follow the doctor's recommendations for treatment.
