Enjoy the latest issue of the Hysteroscopy Newsletter.

Hysteroscopic examinations are becoming less and less painful – as a result of the hysteroscopist’s skill and technical knowledge and the advent of technology, such as the improvement and reduction of the diameter of the optics, high-definition video systems, safe and effective means of stretching and new instruments – and are well tolerated by patients, which increases their acceptance and allows their therapeutic performance in an outpatient setting.

Conventional hysteroscopies continue to be performed in a surgical environment, for the treatment of more complex uterine disorders. However, some hysteroscopic surgeries can also be performed in the office.

Currently, there is a new concept called “see and treat”, where some pathologies, when diagnosed on an outpatient basis, are already treated during the exam itself. This concept innovated hysteroscopy, leading to a very large gain for all, as patients no longer need to leave their daily activities to perform a surgical procedure and the health care system costs less. However, such a concept should only be carried out by doctors well qualified with the technique.

Due to the still slow dissemination of hysteroscopy, as well as the little access to information, it is still natural for patients to arrive with a certain fear to perform the exam, either in the office or in the hospital. For that, I help in the formation of a new generation of able gynecologists, not only to perform hysteroscopy, but also to multiply it.

Thomas Moscovitz
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