Hysteroscopy is used to examine and evaluate the issues in the uterine lining and endometrial cavity. Women may suffer from a number of ailments whose treatment involves a thorough examination of the uterus. It is a technique that provides a clear view of the uterine cavity.

What is hysteroscopic adhesiolysis?

Hysteroscopic adhesiolysis is a minimally invasive technique that is used to treat adhesions or scar tissues and fibrosis (a condition called Asherman’s syndrome) inside the cervical canal or the uterine cavity.

Adhesions or scars generally caused due to trauma to the endometrium, which is the result of repeated uterine cavity surgery, postpartum hemorrhage procedures, or infection. Although the condition could be completely symptomless, some common symptoms are-

• Menstrual disturbances
• Problem in conceiving

Once the underlying cause is diagnosed, hysteroscopic adhesiolysis is performed. In the process, the scars are removed without making any cuts on the skin of the abdomen.

What is the procedure of hysteroscopic adhesiolysis?

• The doctor will perform normal checkups to know your blood sugar level, blood group, the function of the heart and kidney, etc. to ascertain if everything is fine.
• Once everything is tested, the doctor will fix a date for doing hysteroscopic adhesiolysis.
• On the date of the appointment, you will be given either general anesthesia or spinal anesthesia.
• The doctor will pass fluid into the cavity of the uterus, which will help in inserting a thin camera. It has a cutting instrument attached to it.
• The doctor is able to see images inside the uterus with the help of the camera that will help him to remove the adhesions under direct visualization.

Hysteroscopic adhesiolysis is done within the first two weeks of the cycle after the bleeding has stopped. It takes around 30 to 60 minutes for the procedure to complete. The patient can go home after 2 to 3 hours of the procedure and can resume normal routine from the next day. The recovery may take a maximum of one week.