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By On 26/12/2019 0


Hysteroscopic Surgery in Gynaecological Practice | Latest news for ...

First of all, remember that the reproductive function - one of the most important in a person's life, so there should be no treatment of uterine polyps folk remedies without consulting a gynecologist. Only then can it be used in a variety of recipes. If necessary, you can combine treatment folk remedies homeopathy. And some of the most actively advertised drugs, given the rich list of contraindications, usually better not to use. It has been proven that herbal treatment is much more effective and safer in terms of side effects and adverse effects from the use of many homeopathic remedies at the same time. Later in the article, we are going to discuss the different possible operations performed for uterine polyps.



What is a uterine polyp?

The uterine polyps are outgrowths attached to the inner wall of the uterus which extend into the uterine cavity. Cellular proliferation in the lining of the womb (endometrium) results in the formation of uterine polyps, also called endometrial polyps. These polyps are usually non-cancerous, although some can be cancerous or turn into cancer (precancerous polyps). Here is the natural herbal treatment to cure uterine polyps. Click on the image below to discover this natural treatment . 

Uterine Polyps and Operation: Natural Treatment

Usually, unless you are diagnosed with uterine polyp late, our natural treatment will heal uterine polyps and have no side effects. Trust us! It is the miracle solution to permanently cure uterine polyps and avoid the operation thanks to the plants. The treatment we offer you to cure Uterine Polyps, which is 100% herbal, will also suppress the symptoms you are experiencing. If you suffer from uterine polyps and want a quick and complete cure,  click hereThe dawabio experts have the solution for you!





Uterine polyps vary in size from a few millimeters (no larger than a sesame seed) to several centimeters (the size of a golf ball). They attach to the uterine wall by a large base or thin rod.

You may have one or more uterine polyps. They usually stay contained in your uterus, but occasionally they slide down through the opening of the uterus (cervix) into your vagina. Uterine polyps most often occur in women who have gone through menopause or have completed, although younger women can suffer from them as well.




Signs and symptoms of uterine polyps include:


  •          Irregular menstrual bleeding - for example, having frequent, unpredictable periods of varying length and heaviness
  •          Bleeding between periods
  •          Excessively heavy periods
  •          Vaginal bleeding after menopause
  •          Infertility


Some women have only bleeding or light bleeding; others are symptom-free.


    The causes

Hormonal factors seem to play a role. Uterine polyps are sensitive to estrogen, which means that they develop in response to circulating estrogen.

    Risk factors

Risk factors for developing uterine polyps include:


  •          Being perimenopausal or menopausal
  •          Have high blood pressure (hypertension)
  •          Being obese




The uterine polyps may be associated with infertility. If you have uterine polyps and cannot have children, removing them may allow you to get pregnant, but the data is inconclusive.




If your doctor suspects that you have uterine polyps, he may do any of the following:


  •    Transvaginal ultrasound . A thin, wand-like device placed in your vagina emits sound waves and creates a picture of your uterus, including its interior. Your doctor will be able to detect clearly present polyp or identify a uterine polyp as an area of ​​thickened endometrial tissue.

A related procedure, called a hysterosonography also called sonohysterography, involves injecting saltwater (saline solution) into your uterus through a small tube inserted into your vagina and cervix. The saline dilates your uterine cavity, giving the doctor a clearer view of the inside of your uterus during the ultrasound.

  •   HysteroscopyYour doctor inserts a thin, flexible, lighted scope (hysteroscope) into your vagina and your cervix into your uterus. The hysteroscopy allows your doctor to examine the inside of your uterus.
  •   Endometrial biopsyYour doctor may use a suction catheter inside the uterus to collect a sample for a lab test. Uterine polyps can be confirmed by an endometrial biopsy, but the biopsy can also miss the polyp.

Most uterine polyps are non-cancerous (benign). However, some precancerous changes in the uterus (endometrial hyperplasia) or cancers of the uterus (endometrial carcinomas) appear as uterine polyps. Your doctor will likely recommend the removal of the polyp and send a tissue sample for lab analysis to make sure you don't have uterine cancer.



 Medical treatments


For uterine polyps, your doctor may recommend:



  •          Watchful waitingSmall polyps without symptoms can resolve on their own. Treating small polyps is unnecessary unless you are at risk for uterine cancer.
  •          MedicinesCertain hormonal drugs, including progestins and gonadotropin-releasing hormone agonists, can alleviate symptoms of the polyp. But taking such medications is usually a short-term solution at best - symptoms usually return once you stop taking the medication.
  •          Surgical removal.  It is a surgical intervention which allows one to treat certain pathologies of the uterine cavity by natural means. The operation is carried out using a camera called a hysteroscope (measuring 10 mm in diameter), into which the surgical instruments are inserted. This intervention is performed in the operating room, under general anesthesia or under locoregional anesthesia (epidural analgesia or spinal anesthesia).

As part of an infertility assessment or treatment, laparoscopy may be combined with operative hysteroscopy. It allows the exploration of the entire female pelvis, the verification of the patency of the uterine tubes and the performance of other possible associated procedures.



When is an operative hysteroscopy performed?



The intervention is performed outside of the period, in the first part of the cycle. In a premenopausal woman, the ideal time is between D-8 and D-13 of the cycle (D-1 being the first day on which the rules begin). This is the only time when we are sure that there is no early pregnancy. In this phase of the cycle, the endometrium is thin and the lesion is better visible. In postmenopausal women, the operation can be performed at any time, preferably outside the bleeding period and sometimes after prior preparation with estrogen for 10 days or with prostaglandins, in order to facilitate the dilation of the cervix. There is no other special preparation before the operative hysteroscopy.



How is an operative hysteroscopy performed?


An  operative hysteroscopy can be performed under locoregional anesthesia (epidural or spinal anesthesia) or under general anesthesia. The choice of the type of anesthesia is fixed in a pre-anesthetic consultation. An operative hysteroscopy is usually done on an “outpatient” basis. The patient returns in the morning, on an empty stomach, then leaves accompanied a few hours after the end of the operation. In some cases, hospitalization of 24 to 48 hours is necessary. The intervention is performed by a gynecologist-surgeon. It is carried out by natural means. There is therefore no visible external scar. The operation itself begins with progressive dilation of the uterine cervix using metal candles (prior treatment with tablets administered vaginally is often prescribed to facilitate this gesture).

The hysteroscope is introduced into the uterine cavity. Permanent irrigation throughout the operation with a special liquid (Glycocolle) allows the distension and visualization of the uterine cavity. A special system allows the control of the pressures and a balance of the inputs and outputs of the liquid. The hysteroscope is connected to a video screen that the surgeon observes throughout the operation in order to adapt his gestures. Surgical instruments are introduced into the hysteroscope tube (scissors, resection loop, section hook, ball, etc.).

When an intrauterine lesion is removed, the resection shavings are sent to the pathology laboratory for histological tissue analysis. The results are communicated to the patient by the gynecologist during a post-operative consultation, at the same time as the operative report.



What are the risks?


Like every surgical procedure, operative hysteroscopy involves certain risks:

  •          Persistence of small bleeding for several days is usual;
  •          Risk of hemorrhage, occurring immediately postoperatively or remotely (in the days following the operation). It may be related to a tear in the cervix or a uterine perforation. The occurrence of bleeding may require further intervention;
  •          Risk of infection, manifested by smelly vaginal discharge, pelvic pain and fever, urinary tract infection;
  •          Failure of the operation following a false route of the path of the hysteroscope against indicating the continuation of the operation;
  •          Very rarely, an operative hysteroscopy can cause infertility by obstruction of the uterine cervix (stenosis) or by the occurrence of postoperative synechia;
  •          Absence of periods, by stenosis (obstruction) of the uterine cervix or by the appearance of a synechia, which may require dilation or reoperation;
  •          Cervico-isthmic open bite linked to the dilation of the uterine cervix;
  •          Risks associated with anesthesia: allergy, infection…;
  •          Exceptionally, an intestinal or urinary system wound, linked to a uterine perforation;
  •     Neurological damage linked to an important intravascular passage of the irrigation liquid (Glycocolle): headaches, visual disturbances, respiratory and cardiovascular disorders, hyponatremia, and hemodilution.



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