Hysteroscopy Surgery

What is Hysteroscopy:  A  procedure where an endoscope is used to visualize the uterus and the uterine tubes.  Several pathologies of these organs can be identified and treated. Indeed some of these disorders may be the cause of infertility in the female. Hence this is a good diagnostic and therapeutic  (operative) tool for female infertility. It is normally done immediately after the menstrual periods during which time the uterine lining is thin and access to uterine cavity is better.

Common indications for hysteroscopy:

• Heavy or abnormal uterine (like bleeding in between normal cyclical bleeds)  and severe abdominal cramps.
• Unusual vaginal discharge
• To check the size and shape of the uterus during investigation of infertility. Congenital uterine malformations can also be diagnosed
• Diagnosis and evaluation of polyps and fibroids in the uterus. Polyps can be removed through the procedure. Biopsied can be taken through appropriate instruments inserted through the Hysteroscope. Thus malignancies can be diagnosed and appropriate treatment strategies planned in due course.
• Repeated miscarriage
• For routine investigation of infertility
• As a part of a therapeutic procedure like dilatation and curettage, laparoscopy

How is the procedure performed:

It is preferable to undergo the procedure in the pre-ovulatory phase as possibility of an established pregnancy is zero and hence there is no question of disturbing it, especially if investigating for infertility.  A date is taken immediately after the monthly menstrual bleed is over.  The doctor will ask details of any medicines being taken, any allergies to specific drugs and if any anticoagulants like aspirin is being taken.  Recent pelvic infection and the details of the treatment must be brought to the attention of the doctor.  The patient will be advised not to use any tampons in the vagina for 24

Hours..A local, regional or general anesthesia can be used for this procedure, besides a sedative and a painkiller. The doctor will decide which is best for the case. The patient will change to the OT gown provided in the operation theatre.  The bladder must be emptied before the procedure.  The patient is made to lie on her back with the legs wide apart and raised and supported by table footrests. This is called the lithotomy position and offers the doctor the best view and access to the external and internal genital organs. The external genitals will be thoroughly cleaned with an antiseptic solution that will remove all microbes and reduce any local infection. . A speculum will be inserted into the vagina to provide a clear view of the cervix.  The tip of the hysteroscope is gently inserted into the cervical opening and guided upwards until it reaches the uterine cavity.  The illuminat or ensures that the interior of the uterus is clearly visible and the camera transmits real time images to the TV screen which is viewed by the doctor and team.  The tip of the hysteroscope can be moved in different directions so that no part of the wall is missed and also the tubal openings are visualized. The procedure take about half an hour following which the patient is rested for some three to four hours  in the recovery room  and then asked to go home. The exception is when general anesthesia is used where a post operative stay for a longer duration is done.  Patient is advised to abstain from sex and the use of vaginal tampons for some days.  There may be mild abdominal cramps and light bleed from the vagina, but this will stop in a few days.

How to increase chances of getting pregnant after 35

Statistically an increasing number of women are getting pregnant after age 35.  In fact, the number of older mothers or as some doctors like to call it, mothers of an advanced maternal age, is increasing not only in the USA but in India as well.

Why More Women are Delaying Pregnancy

According to statistics, one in five women today delays pregnancy until after the age of 35. In fact, over the last 15 or so years there has been a whopping 50 percent increase in first births to women over 40 years old. The reasons for this are many, but the most common ones are:

• Getting a career going – Many women delay childbirth to concentrate on building up a career first. Once on a career path, some women find it difficult to take time out for marriage and children.
• Ensuring that they are financially secure
• Improved medical treatment and prenatal tests

Improvement in fertility treatments have made it possible for women to
conceive and have a healthy, normal pregnancy and baby despite advancing age. Prenatal tests have also helped in that couples can know whether or   not a fetus will have any genetic abnormalities or defects such as Down syndrome.

Of course, one cannot forget the stories of celebrities who have given birth after age forty. The list includes actresses & celebrities who became mother after 35 years of age as. They have given hope to legions of women who would have at one time thought they had let the opportunity of motherhood slip by.

The proliferation of online support groups of and for women who have successfully became moms after age 35, whether for the first or tenth time offers added inspiration.

Fertility and Older Women

One interesting fact about getting pregnant at an older age is that although fertility levels fall, the odds of having twin’s increases. While the use of fertility treatment increases the occurrence of multiples, older women can also naturally have twins without medical intervention.

Interestingly, despite what anyone may think, women over 35 and in their forties having babies is nothing new. If we check back into your family histories we will find that there have been many births to mothers who were well past 35. I know for a fact that my mom and at least one aunt had children while in their forties.

Risks Associated with Getting Pregnant After 35

While it is true that the risk to both mother and baby increases after age 35, it is really not as high as you may be led to believe. In fact, once a woman over age 35 is healthy and has no fertility issues, she has almost the same chance of a healthy baby as a 20-year old. Nonetheless, there are a few things to be aware of if you are over 35 and trying to get pregnant its required to get in touch with the Gynaecologist.

• The risk of miscarriage increases
• Fertility levels do start to drop drastically after 35
• Health problems for the woman after 35 include gestational diabetes and hypertension, as well as endometriosis and fibroids. But these can be managed with a combination of medication and lifestyle changes, such as improved diet and exercise.
• The need for c-section increases, however, many women over 35 have had normal deliveries without the need for surgical intervention..

Preparing for Pregnancy after 35

If you are over 35 and thinking of having a baby, here are a few things you can do to improve your chances:

• Get a pre Conceptional check up, in fact, it is a good idea for the father-to-be to get one as well. It’s important to know from the get go that physically you are OK.
• Look at your diet to ensure that you are eating properly. Forgo caffeine, excessive alcohol, and drugs if you are serious about getting pregnant. If you are on any special medication talk to your doctor before trying to conceive.  Make sure to add folic acid to your supplements as it has been proven to help prevent some neural defects in fetuses.
• Maintain a moderate level of physical activity. If you used to exercise prior to getting pregnant there is generally no need to stop, but be guided by your doctor. However, it is not advisable to pick up exercising as a new activity while pregnant, except for walking.

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Choose IVF Doctor with Whom You Feel Comfortable

IVF is a one of the most recommendable infertility treatment when every other treatment has been unsuccessful. It is a one of the best infertility techniques. Different components are there on which its result rate depends and one of the main component that couples pay no attention to is IVF center and IVF specialist. 

The achievement rate of getting pregnant through IVF (In Vitro Fertilization) is reliant on the IVF specialist you pick. Wide variations are accessible in different clinics as far as specialist's abilities and knowledge and here you have to do your business to pick the best IVF center with IVF specialist that suits you best. Dr Sarita Teotia has good experience to deal infertility issues.

If you are trying to have an infant for a year and your age is under 35 years or since six months attempting to conceive but not getting positive results then you should look for quick assistance from infertility specialist or need to counsel with your gynecologist. You can ask other couple who had the same issue and has been effectively treated by a good infertility doctor. 

Select the one who is specialist in his field and offers a wide range of services i.e. from analyzing the problem of your infertility to treating it well and sent you back with precious gift of your life, your child and Dr Sarita Teotia is the always available to fulfill your dream of having a child. While going for meeting ensure to go with your partner and a good IVF expert should check your past medical history and different records to discover the cause of your fruitlessness. Keep in mind that IVF specialist is one with whom you have to invest months for treatment, so pick the one with whom you feel good and can openly discuss your each issue.