Does Hysteroscopic Surgery Affect Pregnancy?

For women, during gynecological examination, they may worry about the impact on their uterine development or pregnancy. In fact, as long as they go to a normal hospital for hysteroscopy, it will not affect pregnancy. However, during pregnancy, pregnant women should follow the doctor's advice to determine whether they are suitable for hysteroscopy. If the doctor does not recommend it, it is best to choose other examination methods.

Hysteroscopic surgery refers to minimally invasive surgery performed with a hysteroscope. The hysteroscope is an advanced device for diagnosing and treating diseases in the uterine cavity. It can clearly observe various changes in the uterine cavity and make a clear diagnosis. Hysteroscopes can be divided into diagnostic and surgical types, and there are also soft and rigid types. The soft diagnostic hysteroscope is made of advanced optical fibers, with a small diameter and can be bent freely, making it easy to observe and diagnose the entire uterine cavity. The examination process is fast (about 2-5 minutes), painless, and does not harm the uterus.

Abnormal uterine bleeding, excessive menstruation, scanty menstruation, irregular menstrual cycle, uterine fibroids, uterine polyps, displacement of contraceptive devices, infertility, habitual abortion, follow-up examination after spontaneous or induced abortion, abnormal ultrasound images, long-term lower abdominal pain, preoperative evaluation for artificial insemination and in vitro fertilization, etc., are all indications for hysteroscopy. Using hysteroscopy technology, it is possible to directly observe lesions in the uterine cavity, collect lesion tissue for biopsy, and make accurate, timely, comprehensive, and intuitive diagnosis. It can detect cancer early, perform tubal intubation to check the patency of the fallopian tubes, clear obstructions in the interstitial part of the fallopian tubes accurately and effectively, and perform hysteroscopic surgery to remove the endometrium, submucosal fibroids, endometrial polyps, uterine septum, intrauterine adhesions, and foreign bodies. This surgery is effective, does not require laparotomy, has minimal trauma, little bleeding, mild pain, and rapid recovery.

1. Injury: Mostly related to rough handling, it can cause cervical tears, uterine perforation, false fallopian tube, fallopian tube rupture, etc.

2. Bleeding: Hysteroscopy does not usually cause severe bleeding. If there is excessive bleeding, it should be treated according to the primary disease.

3. Infection: Rare, mostly with a history of chronic pelvic inflammatory disease. Strict indication control should be followed.

4. CO2 uterine distension complications: Excessive operating time and excessive uterine perfusion can cause CO2 gas embolism. In this case, the operation should be stopped immediately, oxygen should be administered, and dexamethasone should be intravenously injected.

5. Cardio-cerebral syndrome: Dilatation of the cervix and distension of the uterine cavity can lead to increased vagus nerve tension, similar to that occurring during artificial abortion suction.