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Bleeding after hysteroscopy in patient on HMGFrom: Dr Malpani (malpani@bigfoot.com)Thu May 6 08:10:52 1999
I recently had to a diagnostic hysteroscopy on a patient after vaginal egg retrieval. The ultrasound scan showed defects suggestive of intrauterine adhesions. We decided to proceed with egg rerieval; freeze all embryos; and then transfer the frozen-thawed embryos in the future. We retrieved 18 eggs; and an operative hysteroscopy done after retrieval showed a few intrauterine adhesions, which we removed by sharp dissection. After completing the procedure, when removing the telescope from the cavity, profuse bleeding ( arterial spurting) was observed from the cavity. This was controlled by balloon tamponade for 24 hours. I was wondering if the fact that the patient was on HMG increased the risk of endocervical laceration ( which was the presumable site of bleeding). Has anyone else had a similar experience ? Thanks !
-- Dr Malpani, MD Malpani Infertility Clinic Bombay. India.
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