indications

This link was last updated on October 01, 2000 and review on July 20, 2005.


This text should be cited as:

Afonso JS. E-book hysteroscopy. In: http://www.histeroscopia.med.br/. Access in:

José Sebastião Afonso


The uterine cavity can be explored by the ultrasonography, hysterosonography, hysterography, curetage and biopsy of the endometrium. If there is any indication for these procedures, it can probably be complemented or substituted by hysteroscopy.

The main diagnostic indications are:

Abnormal uterine bleeding.

Habitual abortion.

Pathology uterine suspicion by other method.

Follow-up of uterine surgery, complications of the curetage, trophoblastic disease, uterus-tubal implant.

GIFT, ZIFT, TET, FIVET.

Bone metaplasia of the endometrium.

Secondary amenorrhea and with negative estrogenic-progestinic test.

Pelvic pain.

Cancer.

The main surgical indications are:

Adhesions.

Septum.

Polyps

Submucous myoma with or without intramural component.

Disfunctional uterine bleeding resistant to hormonal therapy (the techniques of ablation of the endometrium usually used are the electrocoagulation-roller, the electroresection associated to the electrocoagulation-loop+roller, the laser, the radiofrequency and the thermal coagulation.

Tubal catheterization.

Temporary (hydrogel P and intratubal device of Hamou) and definitive (silicone liquid) sterilization.

Removal foreign body (intrauterine device).