What does uterine cavity echolessness mean?

When a girl feels discomfort in her lower abdomen and goes to the hospital for a checkup, the doctor will generally recommend that she do a B-ultrasound. If the B-ultrasound shows no echo in the uterine cavity, it means that there are adhesions or polyps inside the uterus. Generally, no echo in the uterine cavity means that there is a disease in the uterus, so you should actively go to the doctor for diagnosis and treatment. So what does no echo in the uterine cavity mean?

Hysteroscopy is used to understand whether the internal environment of the uterus is normal, whether there are adhesions, polyps, etc., whether the blood supply to the endometrium is poor, and to find the cause of abnormal uterine bleeding.

1. Abnormal uterine bleeding;

2. Uterine adhesions caused by surgery or infection

3. Recurrent miscarriage (more than two times)

4. Abnormal uterine cavity echo and space-occupying lesions found by ultrasound examination;

5. Further diagnosis and treatment of abnormal hysterosalpingography;

6. Unexplained infertility;

Why do we need hysteroscopy? In what situations can we have hysteroscopy? Is hysteroscopy painful?

7. Repeated failure of assisted reproductive treatment;

8.Location or removal of intrauterine contraceptive devices and foreign bodies in the uterine cavity.

Hysteroscopy time

Hysteroscopy should be performed within 3-7 days after the end of menstruation. At this time, the endometrium is in the early proliferative stage, thin and not easy to bleed, with little mucus secretion, and uterine cavity lesions are easy to see. You need to fast for 6-8 hours before a hysteroscopy.

Hysteroscopy procedure

1. Dilate the cervix to the required size, insert the hysteroscope into the internal cervical os along the uterine cavity, and inject 5% glucose solution into the uterine cavity at the same time. Rinse it clean, and then drip glucose solution into the uterine cavity to dilate the uterus.

Why do we need hysteroscopy? In what situations can we have hysteroscopy? Is hysteroscopy painful?

2. After the uterine cavity is fully dilated, the hysteroscope can be used to observe the morphology and endometrium of the cavity. The hysteroscope should be rotated to check various parts of the uterine cavity in sequence, and finally the cervical canal should be checked, and then the cervix should be slowly withdrawn. A glucose drip must be maintained during the examination.

3. Tissue biopsy, foreign body removal, etc. can be performed through the operating channel of the laparoscope.

Is hysteroscopy painful?

Hysteroscopy is mildly painful. Hysteroscopy generally does not require anesthesia, so when the endoscope is inserted into the uterine cavity, women will feel pain, but most people can accept it and there is no need to worry too much. For patients who are nervous or need endoscopic surgery, block anesthesia or intravenous anesthesia can also be used.

If the B-ultrasound shows an echo-free area in the uterus, first consider whether you have had unprotected sexual intercourse recently and whether you have any symptoms of amenorrhea. If you have had unprotected sexual intercourse and you currently have symptoms of amenorrhea, you may be pregnant. The echo-free area in the uterine cavity is considered to be a small gestational sac, which needs to be comprehensively analyzed in combination with the clinical urine early pregnancy test and blood HCG examination. If the early pregnancy test and blood HCG examination are positive, it is considered to be a gestational sac. Why does the B-ultrasound indicate an echo-free area in the uterus instead of directly writing the gestational sac? It is because the size of the gestational sac is relatively small, and the yolk sac, embryo, and fetal heartbeat are not seen inside the gestational sac. When the intrauterine early pregnancy has not been fully confirmed, the B-ultrasound indicates an echo-free area in the uterus. This situation generally needs to be considered for one week, and then the B-ultrasound should be repeated to observe the specific situation in the echo-free area. If the yolk sac, embryo and fetal heartbeat are present inside, it can be clearly diagnosed as intrauterine pregnancy.