Histeroscopy Procedure on Cervical Stenosis - Check Before Cheque
Journal Title: International Journal of Multidisciplinary Research and Analysis - Year 2019, Vol 2, Issue 01
Abstract
Indonesia is the fourth most populous country in the world with population in 2017 reached 261 million people. Perfitri reported that in 2012, blockage was the main common cause of infertility, regarding identified for 12.5 percent of women who underwent IVF. Most of causes of infertility are such as blockage, ovulatory dysfunction, diminished ovarian reserve, cervical abnormalities and endometriosis. A 44 years old woman Para 1 Abortus 1, came to us after several FSH shots and failed IUI procedures. Then we performed hysteroscopy to diagnose and treat the patient. The hysteroscope 3.5 mm sheath couldn’t be inserted into internal cervical os. Then we tried with the smaller sonde and we couldn’t managed to penetrate the uterine cervix. At the next step, we did adhesiolysis by sharp using scissors. After the hysteroscope entered the cervix lumen, the cervical polyps were appeared and well visualized. After we did polypectomy, adhesiolysis and dissection by scissors, the hysteroscope smoothly could be inserted through the cervix, relayed visualization for next investigation to whole area. Diagnostic hysteroscopy helps in identifying the hidden etiology of infertility so that a therapeutic intervention can be initiated, by avoiding unnecessary empiric medical treatment that costly, considering that fertility treatments are generally not covered by health insurance. Check before receive the “cheque”.
Authors and Affiliations
Eddy Hartono
Keywords
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