Hysteroscopy Endosee® Advance System
1. What is hysteroscopy?
Hysteroscopy is a minimally invasive procedure that involves visualizing the uterine cavity using a device called a hysteroscope, with access to the uterine cavity being achieved through the cervical canal. Hysteroscopy can be performed for diagnostic or therapeutic purposes.
2. In what situations is it indicated?
✓ Investigating the causes of infertility
✓ Before the IVF procedure, if an intrauterine pathology is suspected
✓ Failures of the IVF procedure
✓ Recurrent miscarriage
✓ Abnormal vaginal bleeding
✓ Abnormal/changed results of the Pap test
✓ Suspicion of uterine malformations - Müllerian anomalies, septate uterus, bicornuate uterus
✓ In cases of abnormalities discovered by ultrasound: uterine fibroid, uterine adhesions, endometrial polyp, endometrial hyperplasia
Advantages of the Endosee® Advance System Hysteroscope (CooperSurgical, USA):
✓ All-in-one : The device includes everything necessary for direct visualization in diagnostic and treatment procedures.
✓ Minimally invasive : this hysteroscope is revolutionary, being portable, minimally invasive, and offering high safety and simplicity in use.
✓ Minimally traumatic : for examination, a very thin (<5 mm) single-use flexible cannula is used, which is why the procedure is less traumatic. It can be performed in an office setting, without cervical dilation and anesthesia.
✓ Excellent visualization : the procedure involves the use of a video camera and a light source, ensuring excellent visualization of the uterine cavity and endometrium.
3. What are the risks and complications?
Hysteroscopy is a safe procedure and in most cases does not involve adverse effects or complications.
In the first few hours after hysteroscopy, there may be cramps or light bleeding that can last 1-2 days. However, in less than 1% of cases, the following complications can occur:
• Abnormal reaction to medication, or complications due to anesthesia: allergy, hypotension, respiratory distress, cardiovascular disorders;
• Hemorrhage;
• Infection;
• Perforation of the uterus and neighboring organs.
4. What is the price of the procedure?
At Alternativa Clinic, the portable hysteroscope Endosee® Advance System is used, which allows for diagnostic and treatment procedures.
Procedure price - 7,000 MDL
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Infertility
• Infertility in couples
• Recurrent miscarriages and halted pregnancies
• Uterine factor: thin endometrium, endometritis, adhesions, polyps, uterine fibroids, etc.
• Ovarian factor: low ovarian reserve, polycystic ovary syndrome, ovarian cysts
• Hereditary and acquired thrombophilia
• Gynecological infections: chlamydia, mycoplasma, ureaplasma
• Menstrual disorders: painful, heavy, irregular, amenorrhea
• Specialization in endocrinology
Fertilizare In Vitro
• Pregătirea cuplului către fertilizarea in vitro
• Folosirea adjuvantelor pentru sporirea succesului FIV: anticoagulante, imunoterapie, terapie hormonală pre-FIV, ”scratching” endometrial, PRP (Platelet-Rich Plasma), irigații intrauterine, vitamine, suplimente nutritive
• Alegerea protocolului de stimulare ovariană, Mini-FIV, FIV în ciclul natural
• Monitorizare ecografică și hormonală a stimulării ovariene
• Eșecuri repetate ale procedurii FIV
• FIV la femeile după 40 ani
• Referire pentru procedura FIV către clinicile partenere din RM, Ucraina, România, Europa
• Conduita sarcinii după FIV
• Treatment of genital tract infections (Chlamydia, Mycoplasma, Ureaplasma, Trichomonas, Candida, Gardnerella, etc.). This includes performing treatment procedures: uterine instillations, Vaginal PRP
• Couple's infertility: folliculometry, ovarian stimulation, intrauterine insemination, foam sonohysterography, hysteroscopy
• Reproductive rejuvenation: Vaginal PRP, Endometrial PRP
• Specialization in endocrinology
• Diagnosis and treatment of female infertility
• Treatment of endocrine-dependent menstrual cycle disorders (endometriosis, polycystic ovary syndrome, uterine fibroids)
• Pregnancy planning
• Hormone replacement therapy in menopause and post-menopause.