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OFFICE HYSTEROSCOPY IN INFERTILITY   Muammer DOGAN, MD.
Hysteroscopy Instrumentation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Sterilization of   Instruments ,[object Object],[object Object]
Sterilization of   Instruments ,[object Object],[object Object]
Hysteroscopes / Sheaths ,[object Object],[object Object],[object Object],[object Object],[object Object]
Light Source ,[object Object],[object Object]
Distention media   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Distention media ,[object Object],[object Object],[object Object],[object Object]
Distention media ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Disten t ion Media:Saline Vs  CO2 ,[object Object],[object Object]
CO 2   Fluid medium Technical expenditure Higher Low Risk of dissemination Very low Slightly higher Picture Very clear Clear Diagnosis of bleeding  Limited   Very good disorders Comparison of fluid and   CO 2  distention media
TIMING ,[object Object]
Hysteroscopy - Benefits ,[object Object],[object Object],[object Object]
Indication of Office hysteroscopy for reproductive failure ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Controversial Indication ,[object Object],[object Object],[object Object],[object Object],[object Object]
Hysteroscopy Contraindications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hysteroscopy Complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
OFFICE HYSTEROSCOPY ,[object Object],[object Object]
OFFICE HYSTEROSCOPY ,[object Object],[object Object]
OFFICE HYSTEROSCOPY ,[object Object],[object Object]
OFFICE HYSTEROSCOPY ,[object Object],[object Object]
OFFICE HYSTEROSCOPY ,[object Object],[object Object]
OFFICE HYSTEROSCOPY ,[object Object]
Preparation of the cervix ,[object Object],[object Object],[object Object]
ANALGESIA ANESTHESIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
TECHNIQUE ,[object Object],[object Object],[object Object]
TECHNIQUE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
ectocervix endocervical canal  internal os
OFFICE HYSTEROSCOPY
Intrauterine endometrial polyp
Sub mucous myoma without intramural extension (type 0, ESGE classification). 
Sub mucous myoma with typical stretched and dilated capsular vessels.
 
 
OFFICE HYSTEROSCOPY ,[object Object],[object Object]
OFFICE HYSTEROSCOPY ,[object Object],[object Object]
Reference   n  %  Lindemann-Mohr (1976)   1100 29 Siegler (1977)   77 39 Taylor-Cumming (1977)   68 44 Valle (1989)   142 62 Snowden et al (1984)   61 1.3 Keisler-Lancet (1986)   16 31.8 Fayez et al (1987)   194 24 Seinera et al (1988)   332 44.5 Dicker et al (1990)   284 30 Goldenberg (1991)   224 19 Kirsop et al (1991)   10 10 Golan et al (1992)   40 10 Normal HSG Vs abnormal hysteroscopy
Abnormal HSG Vs normal   hysteroscopy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
OFFICE HYSTEROSCOPY ,[object Object],[object Object]
When hysteroscopy should be done for unexplained infertility? ,[object Object],[object Object],[object Object]
Unexplained Infertility ,[object Object],[object Object],[object Object],[object Object],[object Object]
OFFICE HYSTEROSCOPY ,[object Object],[object Object]
OFFICE HYSTEROSCOPY ,[object Object],[object Object]
OFFICE HYSTEROSCOPY ,[object Object],[object Object]
OFFICE HYSTEROSCOPY ,[object Object],[object Object]
OFFICE HYSTEROSCOPY ,[object Object],[object Object]
OFFICE HYSTEROSCOPY ,[object Object],[object Object]
OFFICE HYSTEROSCOPY ,[object Object]
OFFICE HYSTEROSCOPY ,[object Object]

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Office hysteroscopy benefits in infertility diagnosis

  • 1. OFFICE HYSTEROSCOPY IN INFERTILITY Muammer DOGAN, MD.
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11. CO 2 Fluid medium Technical expenditure Higher Low Risk of dissemination Very low Slightly higher Picture Very clear Clear Diagnosis of bleeding Limited Very good disorders Comparison of fluid and CO 2 distention media
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.  
  • 32. Sub mucous myoma without intramural extension (type 0, ESGE classification). 
  • 33. Sub mucous myoma with typical stretched and dilated capsular vessels.
  • 34.  
  • 35.  
  • 36.
  • 37.
  • 38. Reference n % Lindemann-Mohr (1976) 1100 29 Siegler (1977) 77 39 Taylor-Cumming (1977) 68 44 Valle (1989) 142 62 Snowden et al (1984) 61 1.3 Keisler-Lancet (1986) 16 31.8 Fayez et al (1987) 194 24 Seinera et al (1988) 332 44.5 Dicker et al (1990) 284 30 Goldenberg (1991) 224 19 Kirsop et al (1991) 10 10 Golan et al (1992) 40 10 Normal HSG Vs abnormal hysteroscopy
  • 39.
  • 40.
  • 41.
  • 42.
  • 43.
  • 44.
  • 45.
  • 46.
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  • 48.
  • 49.
  • 50.