What anti-inflammatory drugs should be used after the fallopian tube infusion?

There are currently many types of anti-inflammatory drugs, and different types of anti-inflammatory drugs treat different diseases. Different phenomena of the fallopian tubes generally require fallopian tube hydrotubation for treatment. Fallopian tube hydrotubation treatment needs to be performed under sterile conditions, and if there are no discomfort symptoms after the operation, there is no need to take anti-inflammatory drugs. If you need to take anti-inflammatory drugs, it is best to take them under the guidance of a doctor.

Is tubal insufflation painful?

Women who undergo fallopian tube insufflation seem to experience discomfort, which may cause a certain degree of pain. If the fallopian tube is not blocked, there will be no pain. If there is a blockage, it will be painful to pass the water.

Tubal cannulation is a method of clearing the fallopian tubes that was created 80 years ago. With the passage of time and the development of medical science, it has long since completed its historical mission. However, in some areas or hospitals with poor medical conditions, this method is still used as a routine examination method to diagnose the patency of the fallopian tubes and as a method to treat fallopian tube obstruction. This method uses methylene blue solution or saline to be injected into the uterine cavity through the cervix. Then it flows into the fallopian tube from the uterine cavity. The resistance when the medicine is injected and the reflux of the liquid are used to determine whether the fallopian tube is unobstructed. Through a certain pressure of the liquid, the obstructed fallopian tube is restored to patency.

There will be a small amount of vaginal bleeding after fallopian tube insufflation. The couple should avoid bed rest for two weeks after the procedure and take oral anti-inflammatory drugs to prevent infection. It should be noted that hydrotubation is considered an ignored operation during the examination.

It only relies on the doctor's feel of pushing the medicine and the amount of fluid reflux to judge whether the fallopian tube is unobstructed. It cannot clearly tell which side of the fallopian tube is unobstructed, nor which part of the fallopian tube is blocked. The misdiagnosis rate is over 50%. Currently, the most accurate method for diagnosing fallopian tube patency is hysterosalpingography via X-ray.

The process of fallopian tube insufflation

1. Empty the bladder, take the lithotomy position, disinfect the vulva and vagina, and lay a sterile surgical towel.

2. Bimanual examination is used to understand the size, position, texture, mobility, shape of the uterus and its relationship with surrounding organs, and to check whether there are any abnormalities in the appendages on both sides.

3. Place the speculum, expose the cervix, disinfect the vagina and cervix, clamp the anterior lip of the cervix with a cervical clamp, and pull it outward to make the uterus horizontal.

4. Use the uterine probe to gently probe the uterine fundus along the direction of the uterus, measure its depth and confirm its curvature and size.

5. Check that the liquid flow device is intact and leak-free.

6. Insert the uterine drainage catheter into the cervical canal in the direction of probe detection and fix it at the pre-selected depth. Clamp the anterior lip of the cervix with tissue forceps to pull the cervix outwards, and at the same time push the conical head of the drainage catheter inwards so that the two fit tightly. Use a syringe filled with 20 ml of solution to slowly inject the liquid. If 20 ml of liquid is injected smoothly without resistance, there is no leakage outside the cervix, and the patient has no obvious discomfort, it means that the fallopian tube is unobstructed.

7. If resistance is encountered, apply a little pressure. The patient will have a little abdominal discomfort and the injection can be successfully completed. There is no leakage from the external cervical opening, which means that the original adhesion has been separated or the spasm has been relieved.

8. When the fluid is flowing, the sound of fluid coming out from the fimbria of the fallopian tube can be heard by listening with a stethoscope on both sides of the lower abdomen.

9. When you feel great resistance, fluid overflows from the external opening of the cervix, and your abdomen becomes unbearably bloated, it is usually because the fallopian tubes are completely blocked.