Diagnostics of uterine tubes patency is one of the most important examinations in infertility cases. What type of diagnostics shall we prefer?
The traditional diagnostic methods of hydrosonography (i.e. ultrasound examination with contrast enhancement) and hysterosalpingography (Radiology examination) sometimes lead to false conclusions, whereas the diagnostic laparoscopy, providing for diagnosis in 100% of cases, requires hospitalization and general anesthesia for such operation.
Modern technique is Fertiloscopy, which provides for appraising the status of uterine tubes patency, ovaries, and uterus with the same degree of reliability as laparoscopy does. Such technique does not require general anesthesia and long periods of staying in hospital.
Fertiloscopy is made in Hospital of One Day with local anesthesia or phlebonarcosis. The method is based on insertion of a thin optical system through posterior vaginal vault. The surgeon examines ovaries, uterine tubes, estimates possibility of uterine tubes. Then the specialist performs hysteroscopy for the purpose of excluding pathology of uterine cavity. The tools’ size is so small that it allows conducting such examination without expanding cervical canal. With the absence of pathology of uterine cavity it is possible to make biopsy of endometrium for excluding minimal changes. If hyperplasia and polypus of endometrium are diagnosed, the scraping of uterine cavity is made, and if there is intrauterine synechia, it is transected. Fertiloscopy duration is less than 20 minutes.
The results of fertiloscopy allow avoiding diagnostic laparoscopy (and general anesthesia!) with 50% of the patients with infertility.
During fertiloscopy it is possible to make small surgical intrusions, such as:
- Drilling of ovaries. The technique is used for treating the syndrome of polycystic ovaries. It is pectization of small parts of ovaries, resulting in recovery of ovulation.
- Adhesiotomy, when there are initial forms of adhesive process.
Contraindications to fertiloscopy are rare and can be detected during the visit to a gynecologist.
Fertiloscopy is very convenient for the Patients and informative for a doctor.
Usage of such method helps to make a swift and accurate decision on the necessity of laparoscopy operation or treatment by methods of assisted reproductive treatment (ovulation stimulation, insemination and extracorporeal fertilization/ICSI).
| 
