Having a Hysteroscopy can help solve infertility problems

A hysteroscopy is a diagnostic procedure performed to examine and evaluate the changes in the uterus and carry out necessary surgical operations. How is such a modern surgery implemented and what are it’s strengths? We talk about it with our Northway Medical Centre’s obstetrician-gynaecologist, dr. Rolandas Ziobakas.

obstetrician-gynaecologist Rolandas Ziobakas Hysteroscopy

Q – In what cases is there a need to perform a Hysteroscopy operation?

A – A hysteroscopy is often performed as part of  infertility treatment, as well as some other reasons (for example, failure to remove uterine contraceptive coil).

A hysteroscopy is usually performed when the patient has endometrial polyps or myoma, which are deform the uterine cavity; or when there’s a suspicion of endometrial hyperplasia (hypertrophy). These endometrial pathological changes can cause pain, along with irregular and heavy periods. During a hysteroscopy we carry out an accurate diagnosis and then remove uterine polyps or myoma. After this procedure the patient’s abnormal bleeding stops. If a woman complains about significant and prolonged bleeding during menstruation or irregular uterine bleeding, and the bleeding cannot be treated simply with medication, hysteroscopycal ablation surgery is usually recommended. This endoscopic procedure often becomes an alternative to hysterectomy. When there is an unexplained bleeding from the uterus during the postmenopausal period, diagnostic hysteroscopy helps to identify the cause of the bleeding, which can be a malignant tumour in the uterus.

 Q – You mention that a hysteroscopy can be carried out for infertility treatment. Does this mean that having the operation can increase the possibility a woman has for getting pregnant?

A- Yes, this method is suitable for those who cannot conceive or carry a foetus. Infertility may be caused by abnormalities in the uterus such as intra uterine adhesions,  the presence of a uterine septum, myoma, or uterine cavity deformation. Cervical internal adhesions may occur after previous uterine intervention procedures (e.g., uterine curettage operations due to heavy bleeding), or uterine abnormalities confirmed only after endoscopic operations.

After a hysteroscopy it is possible to evaluate, diagnose or rule out the suspected illness. If a woman has experienced several consecutive early recurrent miscarriages, a hysteroscopy would help determine a possible reason for this. For example – a malformation like a partial uterine septum, which can be removed. More often, it is enough to make a small surgical correction before success in conceiving is achieved. However, when this method is inefficient, medical treatments or assisted reproductive techniques can be adjusted.

Q –  Is this method suitable for all women?

A –  Hysteroscopy cannot be performed if a woman is pregnant, suffering from genital inflammation, cervical cancer, or if she has serious health problems. In this case she would be examined and treated using other methods.

Q –  How the hysteroscopy is performed?

A –  The patient is more often under general, usually intravenous anaesthesia during the surgery so she does not feel any pain. The surgeon will use a device called a speculum to open up the walls of the vagina. They will then insert the hysteroscope (a thin telescope-like device) through the cervix, into the uterus with a small amount of fluid for the uterine cavity to widen. The gynaecologist inspects the cervical canal and uterine cavity – all clearly visible on a nearby monitor. If the doctor finds any pathological changes – he removes them. If there any suspicions of a endometrial condition, a biopsy test is performed – a little piece of tissue is taken.

We perform a particularly sustainable hysteroscopy, using thinner than usual instruments. Because of this the patient feels less discomfort after the surgery.

Q – What are the benefits of hysteroscopy? And what about recovery?

A –  A Hysteroscopy is done all at clear sight, so any uterus disease diagnosis is very reliable. After surgery, the pain is minimal as there are no incisions or wounds in the abdomen,  so there is no risk of wound infections. In addition, the patient can be discharged on the same day after surgery, and on the next day she would be ready to return to work. For a period of one to two weeks after the surgery it is not recommended to swim or to use tampons.


Hysteroscopy in private clinic costs from £950 including anaesthesia and 1 day after-care in the clinic.

Click here for the list of infertility treatments we offer, and prices.

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Quick and easy, affordable Laser Lipolysis helps melt fat away

effective Laser lipolysis Surgeon Vaidas Zvinys

Exercise, dieting, special massage, food supplements and specialist slimming procedures do not always help to shift fat in problematic areas such as the abdomen, inner thighs, chin, under-arms and buttocks.
In such cases a laser lipolysis is an ideal solution, as used by Carmen Elektra, Nicole Kidman, Demi Moore as well as other Hollywood stars. “Beauty World” plastic, aesthetic and reconstructive surgeon – Vaidas Zvynys is going to tell us about the pros and cons of this fat removal method.


What is it?

Laser Lipolysis is a fat removal method using a minimally invasive laser. The laser melts the fat away and causes less damage to the surrounding tissue compared with traditional liposuction techniques. This approach has been used for many years in Europe and United States. In Lithuania, Laser Lipolysis procedures have been performed since 2009 and it can be applied to all areas of the body.


Laser Lipolysis is suitable in these situations:

  • Body contouring adjustments ;
  • Removal of localised fat deposits in normal-weight patients;
  • Cellulite removal;
  • Face lift;
  • Lipoma removal;
  • Gynaecomastia (male breast reduction);
  • Correction of unsatisfactory liposuction procedures;
  • After a tummy tuck, or when a patient has dropped a lot of weight and excess skin needs to be removed.

affordable laser lipo abroad

Laser Lipolysis is a minimally invasive procedure that is performed under local anaesthesia. During the operation tiny incisions are made and a special cannula, similar in size to a needle, containing a laser fibre is inserted into the incisions. Using laser beam energy the adipose tissue (body fat) is melted away and the liquid  is sucked out. In smaller amounts the melted fat is simply adsorbed and naturally eliminated by the body. Because of the thermal effects of the laser energy the skin shrinks and within about four months any surplus sagging is reduced, making the area feel tighter.

What are the advantages and disadvantages?

This method, compared to traditional liposuction, has several advantages:

  • It is suitable for those areas where traditional liposuction techniques have failed: the areas above the knees, on the front surface of the thighs, neck, chin areas, inner arm areas.
  • There is no need for general anaesthesia, so preparation time for the operation is kept short.
  • The surgery is less traumatic, because the surgeons work with smaller diameter instruments.
  • The skin is lifted and tightened; cellulite in the area of the operation disappears.
  • Almost the next day you can go back to work, as long as the work is not too physical; but compression garments should be worn for about  3-5 days.

During lipolysis, as with all procedures, complications can occur, no matter how rare these are. For instance as the operation is based on the thermal effect of the laser on the fatty tissue it may cause temporary thermal skin lesions. It may also be necessary to repeat the procedure to complete the fat removal or correct any imperfections in the smoothness. Of course the more experienced and qualified the plastic, cosmetic and reconstructive surgeon is that performs the procedure, the lower the risk of potential complications. The specialist must have certification to perform these procedures. You should also ask what equipment is used, and how many of these procedures the surgeon performs each year.

Who should not have Laser Lipolysis?

The procedure is not suitable for patients who have diabetes, who suffer from auto-immune, kidney and blood disorders, or for pregnant women.

Patients with chronic heart and lung diseases must have an extensive consultation with their doctors before the laser lipolysis surgery.

What next?

Get in touch with us today for our prices which are between 30 and 60% cheaper than in UK clinics.

More information and prices can be found on our Laser Treatments page.

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