In cases of recurrent miscarriage or repeated implantation failure, uterine factors may play an important role. These may include structural abnormalities such as fibroids, uterine septa, adhesions, or other intrauterine pathologies affecting the shape or function of the uterine cavity.
Hysteroscopy allows direct visualization of the uterine cavity and is an essential tool for the diagnosis of intrauterine pathology. When indicated, it also enables minimally invasive treatment during the same procedure.
Before the procedure, patients undergo a detailed preoperative consultation, including information about the intervention and a discussion of potential risks.
Hysteroscopy is usually performed under anesthesia. A thin, illuminated hysteroscope is gently introduced through the cervix into the uterine cavity, allowing real-time visualization on a monitor. In some cases, minimal cervical dilation may be required.
Depending on the findings, operative instruments can be introduced through the hysteroscope to perform targeted treatment, such as polypectomy, septum resection, or adhesiolysis.
Hysteroscopy is a minimally invasive procedure, and patients are typically discharged after a short recovery period.
Dr. Roukoudis gained surgical experience during his time as senior physician at Klinikum Fürth (Germany), with a focus on minimally invasive gynecological procedures.
He is certified in minimally invasive surgery (MIC I) in Germany, reflecting formal training and compliance with established surgical standards.