The procedure takes place either in office or the OR. This is due to administrative and insurance coverage reasons, and not medically driven, which is baffling as much of the world executes it mainly to the office.
In the office, my goal is to erase patients’ conditioning to always undergo pain during their visits. Almost none of them arrive relaxed and trusting that this will be a relatively painless procedure, and this distrust is augmented by low socio-economic status. The reason, which is my personal view, and it’s an opinion that might not be generally shared, is that in my specialty there is a great deal of gynecologic violence towards the patient.
Despite all this, Gynecologic Endoscopy is moving forward in Dominican Republic. It has a heartening projection, more than laparoscopy, due to its easy application and a shorter learning curve. Two factors for this growth to continue are the installation of focus groups that facilitate the learning curve and bring down the costs for the equipment. Another element is the training of the upcoming generation of gynecologists that would become the driving force for the broad implementation of hysteroscopy in my country’s health system.
I definitely agree with Linda Bradley when she says “My hysteroscope is my stethoscope”.
Milcíades Albert F.