What is hysteroscopy?
Hysteroscopy is a procedure done under anaesthesia by your doctor to examine the inside of your cervix and uterus. It is important to have a uterus with sufficient blood flow and free from any growth for successful embryo implantation to take place.
The procedure is done to remove any uterine growths such as polyps, fibroids, or uterine scarring, or to get a sample of tissue from the uterus for a biopsy.
During the procedure, your doctor inserts a long, thin, flexible tube called a hysteroscope with ultrasound guidance into your uterus through your vagina. In cases of refractory endometrium (when the uterus is not responding to hormonal therapy), a hysteroscopy procedure helps us clean your uterus allowing new tissue to grow and improving blood flow when coupled with hysteroscopic PRP.
Hysteroscopy is advised in patients with a history of infertility or repeated miscarriages to diagnose a cause for infertility.
What is hysteroscopic PRP?
Hysteroscopic PRP is a procedure in which hysteroscopy can help clean the entire uterus of women with refractive endometrium. The endometrium is scratched & the PRP (platelet-rich plasma) is injected in the sub-endometrial area (endomyometrial junction) of the uterus with the help of an oocyte pick-up needle and a hysteroscope under ultrasound guidance. This technique improves the endometrial thickness and blood flow in patients with a thin endometrium.
Who is recommended hysteroscopic PRP therapy?
HysteroscopicPRP is advised in women with a history of:
- thin endometrium
- refractory endometrium
- recurrent implantation failure
- previous failed IVF cycle due to thin endometrium or a uterine factor
- decreased endometrial blood flow
- Asherman’s syndrome
- uterine hypoplasia (a congenital disorder that causes an underdeveloped uterus which leads to menstrual irregularities and infertility)
- unexplained infertility
- endometrial tuberculosis
Is hysteroscopic PRP safe?
Hysteroscopic PRP takes place during your hysteroscopy procedure and is considered safe. The PRP preparation uses blood drawn from patients own body to derive a concentrated sample of platelets.