Don't do salpingography lightly

It has to be admitted that hysterosalpingography is indeed an effective means of detecting whether a woman's fallopian tubes are blocked. However, it cannot be ignored that hysterosalpingography will cause certain harm to women's bodies, so many people say that hysterosalpingography should not be done easily. The following article specifically explains the damage caused by hysterosalpingography.

1. The first question to be clarified is whether to do angiography?

In traditional Chinese culture, women are a very vulnerable group, especially when it comes to reproduction, most of the blame is placed on women.

In the obstetrics and gynecology and reproductive clinics, there are too many infertile couples where the husband has not done any examination at all, but keeps urging the wife, causing the woman to try all kinds of medical treatments in a hurry. When they hear that their fallopian tubes may be adhesions or may be blocked, they immediately go for hysterosalpingography and surgery. After the surgery, they continue to receive ovulation induction treatment, but they still cannot get pregnant after repeated ovulation induction. Finally, they come to our center for testing and find that the husband himself also suffers from severe oligospermia and asthenospermia.

Some are even more obsessed with their fallopian tube problems and seek medical treatment and medicine everywhere, including Chinese medicine, hot compresses, physical therapy, and surgery, which ultimately delays the treatment for many years. Not only do they have repeated pelvic adhesions and form sequelae of inflammatory diseases, but they are also getting older and their ovarian function is getting worse. They even lose the chance to try in vitro fertilization.

Therefore, the following situations must be treated with caution in hysterosalpingography

1. Men who have not undergone examination should not blindly undergo angiography;

2. If you have undergone fallopian tube surgery for one year and still have not gotten pregnant, you can consider reexamination and angiography, or you can consider direct in vitro fertilization;

3. For those who are over 40 years old and whose ovarian reserve function is reduced, they can directly undergo IVF;

4. If the dysmenorrhea is severe and the examination shows endometriosis or adenomyosis, angiography should be performed under the guidance of a doctor;

5. Patients who have had tuberculosis, salpingitis or hydrosalpinx should not blindly undergo angiography.

2 If the angiography shows that the anus is unobstructed, does that mean everything is fine?

In fact, the fallopian tube is not just a mechanical channel. One of its main functions is to capture eggs. The second is rhythmic contraction and peristalsis. Its cilia swing in a directional manner to transport eggs and fertilized eggs. Therefore, it is useless to simply have unobstructed fallopian tubes. Dysfunctional fallopian tubes have also lost the ability to conceive. The main purpose of hysterosalpingography is not to determine whether the tubes are obstructed, but to determine whether the fallopian tubes have the function of conceiving. These must be based on the doctor's observations during the angiography, and the doctor's experience combined with what he sees during the operation will make the best judgment.

3 If there is a problem with the fallopian tube, should I do laparoscopic surgery or go directly to IVF?

Laparoscopic or combined hysteroscopic surgery can solve fallopian tube lesions with milder lesions, distal or proximal adhesions, and acceptable function. Proximal fallopian tube abnormalities require hysteroscopy-assisted fluid or guidewire treatment, while distal abnormalities mostly require laparoscopic surgery under general anesthesia. However, the fallopian tubes that are separated and repaired through surgery may re-adhere and become blocked after the operation. Literature shows that 64% of surgeries have an increased rate of re-adhesion and obstruction 3 months after surgery.

Therefore, patients who have undergone laparoscopic treatment should seize the time and actively prepare for pregnancy within six months after the operation, otherwise they will need another surgery to obtain a test tube six months after the operation.