Endoscopy is the process of observing the inside of the body and organs using special devices equipped with light and a camera. Especially in infertility treatment, endoscopic procedures are successful in both diagnosis and treatment.

Endoscopic procedures are divided into two types: laparoscopy and hysteroscopy. In hysteroscopy, the inside of the uterus is observed and surgical procedures are performed on this organ. Laparoscopy involves the observation of the abdominal cavity and allows treatment to be carried out during the same procedure if a problem is detected.

Laparoscopy is used to diagnose and treat problems such as endometriosis, uterine fibroids and other structural anomalies, ovarian cysts, adhesions, and ectopic pregnancy. Hysteroscopy is used in the diagnosis and treatment of infertility, recurrent miscarriage, polyps, or abnormal uterine bleeding. Both procedures allow for diagnosis and treatment to be performed simultaneously.

What is Hysteroscopy?

Hysteroscopy is a preferred method for diagnosing and treating problems within the uterus (such as fibroids, polyps, and adhesions). It is performed using a hysteroscope. This equipment is a long, thin, lighted device inserted into the uterus through the vagina. The camera at the tip transmits images to a monitor, helping the physician to observe the uterine area more clearly.

Hysteroscopy in Infertility Treatment

As part of infertility treatment, hysteroscopy can be used in various areas such as fibroids, polyps, intrauterine adhesions, and uterine tissue problems that may hinder fertility in women.

Hysteroscopy can be used to diagnose and treat the following conditions that may cause infertility:

• Uterine septum
• Infertility
• Early pregnancy loss
• Recurrent pregnancy loss
• Preterm birth
• Uterine shape abnormalities (T- or Y-shaped uterus)

Procedures Performed with Hysteroscopy:

• Diagnosing by observing the inside of the uterus
• Taking a biopsy by viewing the uterine lining
• Removal of polyps and fibroids that cause bleeding
• Removal of congenital walls that divide the uterus and reduce its volume
• Elimination of intrauterine adhesions (Asherman’s syndrome)
• Treatment of bleeding unresponsive to other therapies by burning the uterine lining (endometrial ablation)

Laparoscopy:

Another method used for the diagnosis and treatment of gynecological diseases and problems that cause infertility. In this technique, a thin, telescope-like instrument is inserted through the navel to observe the internal genital organs for disease. It can be used for both treatment and diagnosis.

Procedures Performed with Laparoscopy:

• Hysterectomy (removal of the uterus)
• Removal of fibroids
• Endometriosis, chocolate cysts
• Ovarian cysts
• Adhesions of the tubes and other organs
• Ectopic pregnancy
• Tubal ligation procedures
•