Fertiloscopy: New Diagnostics Method in Clinic МАМА RĪGA
18 May 2015
When fertiloscopy is necessary?
In case of infertility it is quite common when all the data obtained without any intervention (level of various hormones, state of the organs of the pelvis minor displayed by means of US, presence of infections, specific symptoms etc.) provide no information. Therefore, various kinds of diagnostic interventions should be administered to find out probable causes of infertility. Generally, for this purpose fertiloscopy, hysterosalpingography and diagnostic laparoscopy are applied. This is the way to find obstructions and adhesions of fallopian tubes, hydrosalpinx, endometriosis, polyps, ovarian cysts etc. Its purposes are being extended over time. Now there is a number of methods to carry out biopsy (taking a sample of tissue to make analyses) during the procedure of fertiloscopy, adhesiotomy etc.
How fertiloscopy is carried out?
The operation is carried out under local anaesthesia. Through the posterior vaginal vault a special needle is introduced and 150–200 ml of normal saline are introduced by means of that needle. Liquid is used to ‘unfold’ the organs. Then the needle is removed, and a thin camera or another necessary device is introduced through the aperture done. So doctor is able to examine the state of ovaries, the exterior state of fallopian tubes and the walls of the pelvis minor (everything is displayed at the device monitor). After examination doctor estimates the state of uterus and fallopian tubes by means of office HS. It is possible to carry out methylene blue staining to determine patency of fallopian tubes. Usually fertiloscopy takes 10–15 minutes.
After this endoscopic operation suturing there is no need in suturing. All that is necessary is refraining from sexual activity and not to use vaginal tampons for 5–6 days.
What is the difference of fertiloscopy from other methods? Hysterosalpingography (introduction of contrasting substance and roentgenography, HSG) is a non-traumatic intervention that may cause a minimal amount of side effects. However, it has a number of disadvantages. For example, by means of hysterosalpingography only the sate of uterus and fallopian tubes may be examined. But the main disadvantage is that HSG provides only 70% validity of results obtained.
If we regard diagnostic laparoscopy (examination of the abdomen organs through punctures in the abdomen), the comparison of two methods is much more complicated.
Laparoscopy is the golden standard. Laparoscopy allows carrying out more extended examination. In some cases it is more valuable for diagnostics (particularly, for diseases of the ovaries). However, fertiloscopy also has a number of its advantages. It is not carried out under general anaesthesia, only under a local one. There is no need to hospitalize patients: they may go home at the day of procedure. Laparoscopy should not be recommended in case of obesity meanwhile fertiloscopy has no such restrictions. Finally, fertiloscopy is cheaper than diagnostic laparoscopy.
Contraindications for fertiloscopy
Fertiloscopy may be contraindicated an case of operations of pelvic organs in the anamnesis; when the rectouterine pouch is blocked with tumour or with focuses of endometriosis; in case of acute inflammation of the organs the pelvic minor. If you have any questions about fertiloscopy and diagnostics of female infertility, you may contact our doctor online or make an appointment by phone +371 66900400, +371 29494455.