Hysteroscopy
Hysteroscopy allows for a thorough examination of the inside of the uterine cavity and the potential excision of abnormal lesions. We practice both diagnostic and operative hysteroscopy.
Hysteroscopy allows for a thorough examination of the inside of the uterine cavity and the potential excision of abnormal lesions. We practice both diagnostic and operative hysteroscopy.
What is hysteroscopy?
What is hysteroscopy?
Hysteroscopy is a gynaecological procedure that allows for a direct, visual assessment of the uterine cavity; its size, shape, assessment of the fallopian tubes and endometrium.
During hysteroscopy, sections of the endometrium can be taken for further examination (e.g. immunohistochemistry for inflammatory cells (plasmocytes) or immunological tests) and abnormal lesions can be excised.
Hysteroscopy is an important procedure for the diagnosis and treatment of problems such as:
• idiopathic infertility,
• recurrent miscarriages,
• recurrent implantation failures occurring in good quality embryo transfers
• abnormal uterine bleeding
• suspected chronic endometrial inflammation
The attending physician determines the patient’s eligibility for the procedure.
About testing
Practised approaches
Diagnostic hysteroscopy
plays a particularly important role in the diagnosis of endometrial pathology, including chronic inflammation, pre-neoplastic conditions and cancer. It is used to examine and diagnose abnormalities of the inside of the uterus.
Operative hysteroscopy
is used to treat conditions detected during diagnostic hysteroscopy. Operative hysteroscopy is performed immediately during the diagnostic hysteroscopy or at a later date if special preparation of the patient for the procedure is required.
Hysteroscopy is performed using a specialized instrument called a hysteroscope, which includes an optical channel with a camera and an instrument channel for inserting micro-tools, such as scissors and forceps, to excise lesions and collect tissue samples for histopathological analysis.
Good to know
Preparation
for testing
Hysteroscopy is usually performed between days 8 and 12 of the cycle, though in some cases, the attending physician may decide to conduct the procedure at a different point in the cycle.
The physician decides on test eligibility and timing at the procedure screening appointment.
The urinary bladder must be empty during the procedure.
If a diagnostic hysteroscopy procedure is performed without general anaesthesia, we recommend that you take a painkiller about 30 minutes before the scheduled procedure.
If the procedure is to be done under general anesthesia, you must also inform the medical staff of any medication you take, and fast for a minimum of six hours before the procedure
(do not eat or drink at all).
In order to perform a hysteroscopy, the results of the following additional tests must be normal:
- mycoplasma hominis – cervical smear – result no older than 3 months
- ureaplazma urealiticum – cervical smear – result no older than 3 months
- chlamydia trachomatis – cervical smear – result no older than 3 months
- Vaginal biocenosis – result no older than 3 months
If the procedure is performed under general anaesthesia, you must also hold the results of a blood type test (its validity is indefinite), and of the following blood tests performed no later than two weeks prior to the scheduled procedure:
- Blood count
- Sodium
- Potassium
- APTT
- INR
- Blood type
Hysteroscopy is contraindicated if the required tests are missing or if any of the results are abnormal. The procedure is not performed during menstruation (unless otherwise advised by the physician), during pregnancy and if pregnancy is suspected.
Course of diagnostic hysteroscopy
Course of diagnostic hysteroscopy under general anesthesia
Course of operative hysteroscopy under general anesthesia
Test price list
| Diagnostic hysteroscopy |
PLN 2 050 |
| Diagnostic hysteroscopy + Fallopian tube patency testing with 4D Sono HSG (specialised foam) |
PLN 3 050 |
| Level 1 outpatient operative hysteroscopy |
PLN 2 900 |
| Level 2 outpatient operative hysteroscopy |
PLN 3 500 |
| Level 3 outpatient operative hysteroscopy |
PLN 4 000 |
| Surcharge for histopathological analysis |
PLN 150 |
| Surcharge for chronic endometrial inflammatory marker assay (CD138+) |
PLN 250 |
| uNK cell assay (CD 56+) surcharge |
PLN 250 |
| Anti-adhesion gel surcharge |
PLN 420 |
Opinions
How patients see us
I would like to wholeheartedly thank the ARTVIMED staff for making our dream of becoming parents come true. Our beloved baby son was born on 15 May this year.
Thanks to the physicians at the clinic, the whole IVF procedure was successful on the first try 🙂 We received the best care at each step. I had the opportunity to meet several doctors at the clinic during my appointments, and each one proved to be an outstanding professional.
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Opinion (Google) |
I highly recommend this doctor. Competent, committed, empathetic. Specific treatment plan. You know you are in good hands.
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Opinion by B. on Dr. Joanna Figuła (Znany Lekarz) |
Thanks to the Doctor, we welcomed our son into the world 2 weeks ago.
We found this doctor after several years of struggling to conceive a child and being treated by specialists who knew nothing about infertility. The doctor immediately outlined a definite plan of action, ordered the right diagnostic tests, and referred us to the hospital for testing. As a result, the treatment progressed in the right direction.[…]
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Opinion on Dr Ewa Posadzka Agnieszka L. (Znany Lekarz) |
The best doctor we could have come across; she managed our pregnancy with great commitment.
Patient and taking every moment to help or clear up doubts if necessary. Thanks to the Doctor, we are parents of a 5-month-old miracle baby. Highly recommended
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Opinion on Dr Agnieszka Wolak Anna (Znany Lekarz) |
Dr Baran is by far the gentlest, most thorough gynaecologist interested in the patient’s concerns that I have ever encountered.
Immense knowledge of endometriosis, the skills to provide complete ultrasound testing for it and the know how to guide a patient dealing with this unpleasant disease. […]
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Opinion on Dr. Rafał Baran (Znany Lekarz) |
I highly recommend pregnancy management. My past experience with other doctors was that there was little to be gained from the appointments, the doctors were reluctant to tell me what they saw, unwilling to answer questions, and Ms Joanna answered every single one, demonstrating an enormous amount of patience. Highly recommended.
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Opinion on Dr. Joanna Figuła Katarzyna (Znany Lekarz) |
Although our little sunshine is already 6 years old, so far, when I look at her, I still have Dr Chrostowski and the Artvimed clinic in my mind… Dr Chrostowski has got that something about him that, when you are in his office, you know that you couldn’t have found a better place. I will always highly recommend ARTVIMED to everyone.
Ps. I still am in awe of how the embryologists work…how they ‘managed’ to create such a miracle… 😉 Thank you for being there
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Opinion (Google) |
Very matter-of-fact doctor; she informs you thoroughly about everything and explains everything comprehensively. She informed me of the treatment plan and was very kind, gentle and understanding.
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Opinion on Dr Katarzyna Doroszewska (Znany Lekarz) |
We would like to thank the entire ARTVIMED Team – our little miracle was born 2 weeks ago. Many thanks are due, in particular, to Dr Posadzka, through whom the right diagnostic work began, and to Dr Chrostowski, who guided further treatment, punctures, and transfer. I also had the pleasure of dealing with most of the doctors during the course of my diagnosis and each one showed a great deal of support and professionalism. We would also like to thank the Embryology Team – without you, our son would not be here. Thank you for the beautiful work of the whole clinic!
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Opinion (Google) |
FAQ
Infertility is a couple’s problem, so we strongly encourage both partners to come to the first appointment and follow-ups.
No specialised tests are necessary prior to your appointment; it is only during the consultation that the physician orders the necessary tests.
However, we do recommend that you bring your previous medical records, if any, with you to the initial appointment:
Past procedure summary reports
Gynaecological examination
Cytology tests
Hormone testing
Semen testing
AMH test result (female patient)
Patients who have already been treated for infertility should bring to their first appointment the documentation of previous treatment: the report(s) of the transvaginal ultrasound scan, the test result of the fallopian tube patency assessment, documentation of ovulation cycle monitoring, insemination or IVF procedure summary reports, genetic test results, etc.
A complete round of diagnostics to determine the cause of infertility should not take more than about 6 months. As a rule, conservative treatment methods (if possible) are provided for another 6 months. Assisted reproduction techniques are recommended after 12 months of diagnostics and conservative treatment. In patients over 35 years of age, the duration of diagnostics and conservative treatment should be significantly shorter so that assisted reproduction techniques may be introduced earlier.
Please note that an appointment in a specialist centre does not always involve assisted reproduction techniques. Sometimes, with in-depth diagnostics and introduction of appropriate treatment, pregnancy becomes possible, even in a completely natural way.
Contrary to popular belief, the duration of treatment is short; it is approx. 2.5-3 weeks in the antagonist protocol (most commonly used now) and approx. 6 weeks in the long protocol. This time may be extended in specific situations (ultra-long protocol, multiple stimulations in progesterone protocols).
