İnfertilitede ofis histeroskopisi

OFFICE HYSTEROSCOPY IN INFERTILITY Muammer DOGAN, MD.

Hysteroscopy Instrumentation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Sterilization of Instruments ,[object Object],[object Object]

Hysteroscopes / Sheaths ,[object Object],[object Object],[object Object],[object Object],[object Object]

Light Source ,[object Object],[object Object]

Distention media ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Distention media ,[object Object],[object Object],[object Object],[object Object]

Distention media ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Disten t ion Media:Saline Vs CO2 ,[object Object],[object Object]

CO 2 Fluid medium Technical expenditure Higher Low Risk of dissemination Very low Slightly higher Picture Very clear Clear Diagnosis of bleeding Limited Very good disorders Comparison of fluid and CO 2 distention media

Hysteroscopy - Benefits ,[object Object],[object Object],[object Object]

Indication of Office hysteroscopy for reproductive failure ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Controversial Indication ,[object Object],[object Object],[object Object],[object Object],[object Object]

Hysteroscopy Contraindications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Hysteroscopy Complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

OFFICE HYSTEROSCOPY ,[object Object],[object Object]

OFFICE HYSTEROSCOPY ,[object Object]

Preparation of the cervix ,[object Object],[object Object],[object Object]

ANALGESIA ANESTHESIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

TECHNIQUE ,[object Object],[object Object],[object Object]

TECHNIQUE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ectocervix endocervical canal internal os

Intrauterine endometrial polyp

Sub mucous myoma without intramural extension (type 0, ESGE classification).

Sub mucous myoma with typical stretched and dilated capsular vessels.

Reference n % Lindemann-Mohr (1976) 1100 29 Siegler (1977) 77 39 Taylor-Cumming (1977) 68 44 Valle (1989) 142 62 Snowden et al (1984) 61 1.3 Keisler-Lancet (1986) 16 31.8 Fayez et al (1987) 194 24 Seinera et al (1988) 332 44.5 Dicker et al (1990) 284 30 Goldenberg (1991) 224 19 Kirsop et al (1991) 10 10 Golan et al (1992) 40 10 Normal HSG Vs abnormal hysteroscopy

Abnormal HSG Vs normal hysteroscopy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

When hysteroscopy should be done for unexplained infertility? ,[object Object],[object Object],[object Object]

Unexplained Infertility ,[object Object],[object Object],[object Object],[object Object],[object Object]

İnfertilitede ofis histeroskopisi

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