Dr José Félix García España
Medical Director of UR El Ángel, UR Vistahermosa
Category:
Endometriosis, Fertility Assessment, Reproductive surgery
During this event, Dr José Félix García España, Medical Director of UR El Ángel talked about hysteroscopy and whether it can improve IVF outcomes, its indications, and how the procedure is done.
Dr José Félix García España sated that:
50% of what we are firmly established in medicine today will be refuted in 15 years’ time, but the problem is that we don’t know what 50% is.
Hysteroscopy, a procedure involving visual examination of the uterus, merits distinction between its diagnostic and surgical forms. The diagnostic variant aids in spotting abnormalities while the surgical kind involves interventions to rectify detected issues.
A crucial aspect involves discerning the circumstances under which diagnostic hysteroscopy proves invaluable. Exploring this facet unveils disparities in expert opinions. While some emphasize its role, others contend its significance isn’t fully validated. A quote exemplifies this dilemma:
Hysteroscopy in asymptomatic women prior to the first IVF cycle could be associated with improved treatment outcome.However, it also underlines the necessity for rigorous research to confirm findings.
Surgical hysteroscopy emerges as a critical tool for addressing specific uterine pathologies. These include issues like fibroids, polyps, and adenomyosis that can hinder successful implantation. Surgical correction, often involving minimally invasive procedures, becomes paramount in optimizing the uterine environment for embryo development.
The medical community grapples with understanding conditions like dysmorphic uteri and chronic endometritis. The former pertains to irregular uterine shapes, and opinions differ on its impact. Similarly, chronic endometritis, an asymptomatic condition, is subject to debate regarding its significance. Conflicting evidence underscores the need for robust research to ascertain their clinical relevance.
The challenge of determining when to recommend hysteroscopy is multifaceted. Navigating between standardized protocols, evolving medical knowledge, and patient expectations is complex. Different medical settings—public versus private—also influence decision-making, creating a dynamic landscape.
Hysteroscopy and laparoscopy are both minimally invasive procedures that use cameras to diagnose and treat conditions that affect your uterus and other reproductive organs.
Hysteroscopy does not require any incisions (cuts) because the tools for the procedure are inserted through the vagina. However, a laparoscopy requires the surgeon to make one or more small incisions in your abdomen (stomach). Laparoscopies have a slightly higher risk of complications from infection and bleeding since the surgeon has to make one or more incisions, unlike a hysteroscopy.
Some patients will need a laparoscopy if a procedure cannot be done through the vagina, or your surgeon is concerned about the risk of injury to other organs during hysteroscopy.
In conclusion, the subject of hysteroscopy in fertility treatment embodies a myriad of complexities. Balancing diagnostic and surgical applications, understanding varied pathologies, and adapting to a rapidly evolving medical landscape all contribute to the intricate nature of this field. As we grapple with uncertainties and await further research, a spirit of adaptability and openness becomes crucial.
- Questions and AnswersDisclaimer:
Informations published on myIVFanswers.com are provided for informational purposes only; they are not intended to treat, diagnose or prevent any disease including infertility treatment. Services provided by myIVFanswers.com are not intended to replace a one-on-one relationship with a qualified health care professional and are not intended as medical advice. MyIVFanswers.com recommend discussing IVF treatment options with an infertility specialist.
Contact details: The European Fertility Society C.I.C., 2 Lambseth Street, Eye, England, IP23 7AGNecessary cookies are absolutely essential for the website to function properly. This category only includes cookies that ensures basic functionalities and security features of the website. These cookies do not store any personal information.
Analytical cookies are used to understand how visitors interact with the website. These cookies help provide information on metrics the number of visitors, bounce rate, traffic source, etc.
Cookie | Duration | Description |
---|---|---|
_ga | 2 years | This cookie is installed by Google Analytics. The cookie is used to calculate visitor, session, campaign data and keep track of site usage for the site's analytics report. The cookies store information anonymously and assign a randomly generated number to identify unique visitors. |
_gat_UA-38575237-21 | 1 minute | No description |
_gid | 1 day | This cookie is installed by Google Analytics. The cookie is used to store information of how visitors use a website and helps in creating an analytics report of how the website is doing. The data collected including the number visitors, the source where they have come from, and the pages visted in an anonymous form. |
Any cookies that may not be particularly necessary for the website to function and is used specifically to collect user personal data via analytics, ads, other embedded contents are termed as non-necessary cookies. It is mandatory to procure user consent prior to running these cookies on your website.
Other uncategorized cookies are those that are being analyzed and have not been classified into a category as yet.
Cookie | Duration | Description |
---|---|---|
_gat_FSQM52 | 1 minute | No description |
cf_ob_info | No description | |
cf_use_ob | No description |