Hysteroscopic Surgery

Hysteroscopic Surgery for polycystic ovary syndrome (PCOS) or polycystic ovarian disease (PCOD) is a minimally invasive procedure that involves using a hysteroscope, a thin, lighted tube with a camera, to visualise and treat the abnormalities within the uterus. PCOS/PCOD is a hormonal disorder characterised by the presence of multiple small cysts on the ovaries and is commonly associated with menstrual irregularities and fertility issues.

There are several hysteroscopic surgical procedures that can be performed to address specific issues related to PCOS/PCOD. The choice of procedure depends on the individual patient's symptoms, goals, and the specific abnormalities identified during diagnostic evaluation. Some common hysteroscopic procedures for PCOS/PCOD include:

• Hysteroscopic Polypectomy: Polyps are small, noncancerous growths that can develop in the lining of the uterus (endometrium). They can contribute to irregular menstrual bleeding or fertility issues in women with PCOS/PCOD. During a hysteroscopic polypectomy, the surgeon uses specialised instruments to remove these polyps, restoring normal uterine function.
• Hysteroscopic Endometrial Ablation: Endometrial ablation is a procedure that involves removing or destroying the lining of the uterus. It is typically performed to address heavy or prolonged menstrual bleeding associated with PCOS/PCOD. Using hysteroscopic guidance, the surgeon delivers energy (such as laser, radiofrequency, or thermal) to the endometrial lining, causing it to thin or scar, and reducing menstrual bleeding.
• Hysteroscopic Septum Resection: Some women with PCOS/PCOD may have a uterine septum, which is a band of tissue dividing the uterus into two separate cavities. This can affect fertility and increase the risk of miscarriage. Hysteroscopic septum resection involves removing this tissue, creating a more optimal uterine environment for conception and pregnancy.
• Hysteroscopic Adhesiolysis: In some cases, women with PCOS/PCOD may develop intrauterine adhesions (scar tissue) due to previous surgeries, infections, or other causes. These adhesions can interfere with normal uterine function and implantation. Hysteroscopic adhesiolysis is performed to remove or break up the adhesions, restoring the normal architecture of the uterus.

Hysteroscopic surgery for PCOS/PCOD is typically performed as an outpatient procedure under local or general anaesthesia, depending on the complexity of the case and patient preference. The hysteroscope is gently inserted through the vagina and cervix into the uterus, allowing the surgeon to visualise the uterine cavity and perform the necessary interventions using specialised instruments. The benefits of hysteroscopic surgery for PCOS/PCOD include its minimally invasive nature, shorter recovery time, and preservation of the uterus. However, it's important to note that hysteroscopic surgery is not a cure for PCOS/PCOD itself, but rather a targeted treatment for specific uterine abnormalities associated with the condition.

At MASSH, our skilled team of gynaecologists and reproductive specialists is dedicated to providing comprehensive care for women with PCOS/PCOD. We offer individualised treatment plans tailored to each patient's unique needs and goals, incorporating hysteroscopic surgery when indicated. Our priority is to improve symptoms, optimise fertility, and enhance overall reproductive health, while providing ongoing support and guidance throughout the journey. To learn more about hysteroscopic surgery for PCOS/PCOD or to schedule a consultation.Contact MASSH. Our experienced team of specialists will be happy to address any questions or concerns you may have and guide you towards the most appropriate treatment options.