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Diagnostic Hysterolaparoscopy & Treatment

Diagnostic hysterolaparoscopy (DHL) is a combined hysteroscopy and laparoscopy procedure used mainly to diagnose and often treat causes of infertility, pelvic pain, and abnormal bleeding in a minimally invasive way. Below is website‑ready content you can plug into your treatment page and adapt to your branding.

What is Diagnostic Hysterolaparoscopy?

Diagnostic hysterolaparoscopy combines two key procedures done in the same sitting:

  1. Hysteroscopy: A thin telescope with a camera is passed through the vagina and cervix to see inside the uterus (womb) and detect problems like polyps, fibroids, adhesions, or congenital uterine anomalies.
  2. Laparoscopy: A small telescope is inserted through tiny cuts in the abdomen to examine the uterus, ovaries, fallopian tubes, and surrounding pelvic organs from outside

Why is this procedure done?

Your doctor may advise diagnostic hysterolaparoscopy to:

  1. Investigate infertility when basic tests (ultrasound, HSG, blood tests) do not clearly show the cause.
  2. Check if the fallopian tubes are open (tubal patency) and look for blockages, adhesions, or damage.
  3. Evaluate pelvic pain, painful periods, or suspected endometriosis and pelvic adhesions.
  4. Assess and treat uterine problems such as fibroids, polyps, septum, adhesions, or abnormal uterine shape.
  5. Confirm and treat conditions like ectopic pregnancy or ovarian cysts in selected cases.

How is the procedure done?

Diagnostic hysterolaparoscopy is usually a short, minimally invasive, day‑care procedure done under anesthesia.

  • Preparation: You may be asked to fast for a few hours before the procedure and complete basic blood tests and anesthesia fitness.
  • Hysteroscopy step: The doctor gently passes the hysteroscope through the cervix, distends the uterus with fluid, and inspects the cavity for fibroids, polyps, septa, or adhesions.
  • Laparoscopy step: Small cuts (usually 0.5–1 cm) are made on the abdomen; a camera and instruments are inserted to examine the uterus, tubes, ovaries, and pelvis.
  • Duration: The diagnostic part typically takes 30–60 minutes; it may be longer if treatment is performed at the same time.
  • What treatments can be done during DHL?

    One major advantage of hysterolaparoscopy is that many problems can be treated immediately once they are seen, avoiding a second surgery. Possible treatments include:

    Be sure to call us if you develop any of the following:

  • Removal of endometrial polyps, small fibroids, or retained tissue using hysteroscopic instruments.
  • Cutting uterine septum or adhesions (Asherman’s syndrome) to restore a normal uterine cavity.
  • Cauterization or removal of endometriosis lesions and release of pelvic adhesions.
  • Opening of mild tubal blocks near the uterine end in selected cases.
  • Management of ovarian cysts or polycystic ovaries (for example, ovarian drilling) where appropriate.
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