Execute a diagnostic hysteroscopy as first surgeon of a case of own choosing. Preferably, this is an interesting, challenging or unusual case. Examples are: Intrauterine adhesions, sub endometrial adenomyosis, long septum, T–shape uterus, congenital uterine malformations with concomitant pathologies like myoma, adhesions, and other, placental remnants, endometritis, endometrial hyperplasia, endometrial cancer, stenotic cervix, etc.
Please pay attention to:
- Vaginoscopic, atraumatic cervical os-canal entry
- Hysteroscope navigation ability, avoiding forceful progression of the hysteroscope and use of rotational movements following the cervical canal and reaching the endometrial cavity
- Systematic examination of the cervical canal and endometrial cavity
- Panoramic as well as close-up views
- Effort to evaluate the endometrium status
- Ruling out or accurate diagnosis of congenital uterine anomalies
- Concomitant use of peri and intra-operative sonography where needed
- Diagnosis of the pathology based on hysteroscopic criteria e.g. type of endometrium, type of myoma, etc
- Description of pathology, anatomical location, degree of severity
- Diagnosis and differential diagnosis where relevant