WHAT IS DIAGNOSTIC HYSTEROSCOPY: HOW IT IS PERFORMED AND WHEN IT IS PERFORMED
Dr. Castellacci specialized in hysteroscopy during a period of technological development that allowed gynecologists to expand their knowledge and propose a minimally invasive approach to uterine pathologies. This allows for the treatment and resolution of a large portion of uterine problems through a natural access route, often without the need for sedation.
Hysteroscopy is a diagnostic and therapeutic method for both patients and gynecologists. It has gained popularity in recent years thanks to sophisticated technological advances, which have allowed its use on an outpatient basis. This technique has allowed for diagnostic and therapeutic use of the endometrial cavity, both in the fields of infertility and cancer prevention, as well as for benign intracavitary pathologies and uterine malformations.
Diagnostic hysteroscopy is a minimally invasive gynecological endoscopic procedure that, through the use of a very thin camera and appropriate instruments, provides a clear, direct view of the uterine cavity and cervical canal, allowing for an accurate diagnosis of uterine pathologies in both women of childbearing age and postmenopausal women. Hysteroscopy can always be performed, but during women of childbearing age, it is preferable to perform it immediately after menstruation, as the endometrium is more visible and less sloughed, and especially because at this stage there are no risks to conception.
The use of truly miniaturized instruments in the order of 3.5 mm or 5.0 mm, together with the use today of physiological saline solution (water) instead of gas to obtain optimal distension of the tissues of the uterine cavity allows us to affirm that diagnostic and office hysteroscopy is truly a non-invasive micro surgery but one that resolves many pathologies while fully respecting the psychophysical well-being of the woman.