Hysterosalpingography

It is well known that the fallopian tube is also a very important channel in the female reproductive system, because the main function of the fallopian tube is to transport eggs. If there is any abnormality in the fallopian tube, it will affect the normal output and input of eggs in a woman's body. Hysterosalpingography can effectively detect whether the fallopian tubes are blocked. Let’s learn about the relevant knowledge of hysterosalpingography today.

1. Definition

Hysterosalpingography is an X-ray hysterosalpingography that injects contrast agent into the uterine cavity and fallopian tubes through a catheter, uses an X-ray diagnostic device to perform X-ray fluoroscopy and filming, and uses the contrast agent's development in the fallopian tubes and pelvic cavity to understand whether the fallopian tubes are unobstructed, the site of obstruction, and the morphology of the uterine cavity.

In addition to its inspection function, contrast agents can also lubricate and unclog the fallopian tubes, and have a certain therapeutic effect on mild adhesions of the fallopian tubes.

2. Applicable scope

Hysterosalpingography is generally used to rule out the cause of infertility and to check for uterine malformations, intrauterine adhesions, etc. We know that normal and successful conception requires several basic conditions:

1. Auxiliary examination for infertility.

2. Chronic inflammation of reproductive organs, tuberculosis lesions, etc.

3. Malformations of reproductive organs, such as septate uterus, saddle-shaped uterus, etc.

4. Uterine tumors, such as submucosal fibroids, etc.

5. Abnormal morphology of cervical canal, etc.

Therefore, if the fallopian tube is blocked or adhered, it will be difficult for the sperm and egg to meet and form a fertilized egg, let alone implant after entering the uterine cavity.

For couples who have not gotten pregnant after one year of normal pregnancy preparation, if examination shows that the man's sperm quality is normal and the woman can ovulate normally, they can consider hysterosalpingography.

Three points to note

When doing salpingography, you need to know the following:

1. The patient has a serious disease.

2. Acute inflammation of reproductive organs

3. Irregular vaginal bleeding or menstrual period

4. Body temperature above 37.5℃

5. Patients with malignant tumors of uterine cavity.

6. Pregnancy.

(1) The best time to perform angiography is 4-7 days after menstruation ends.

(2) Before surgery, leucorrhea, blood routine, early pregnancy and other examinations should be completed to rule out genital tract inflammation, systemic infectious diseases, pregnancy, etc.;

Before angiography, local anesthesia is usually given to avoid spasms caused by discomfort during the angiography process.

After simple disinfection, the doctor will insert a catheter into the uterine cavity and inject an appropriate amount of contrast agent, and then observe the contrast agent's appearance in the fallopian tubes and pelvic cavity.