What is tube angiography?

Hysterosalpingography is a healthy way to check whether the fallopian tubes are blocked or unobstructed, and whether the uterus has deformities and adhesions. If there is a problem with a woman's fallopian tube, it will inevitably affect normal conception, so hysterosalpingography is a method to rule out infertility caused by the fallopian tube. This examination needs to be started about 3-7 days after menstruation. Sexual intercourse is prohibited during this period. Learn more about what hysterosalpingography is?

1. Hysterosalpingography

Hysterosalpingography: It is a test method used to check whether the fallopian tubes of women are open. Hysterosalpingography is one of the most widely used methods in clinical practice.

Hysterosalpingography: X-ray hysterosalpingography is a method of injecting contrast agent into the uterine cavity and fallopian tubes through a catheter, using an X-ray diagnostic device to perform X-ray fluoroscopy and filming. Based on the development of the contrast agent in the fallopian tubes and pelvic cavity, it is used to understand whether the fallopian tubes are unobstructed, the site of obstruction, and the morphology of the uterine cavity.

Hysterosalpingography is a minimally invasive examination. Under the operation of an experienced physician and with the use of a digital X-ray machine, it can make a correct diagnosis of fallopian tube obstruction with an accuracy rate of 98%. It also has a certain therapeutic effect and is the most commonly used examination method to understand whether the fallopian tubes are unobstructed, the degree of patency, and the specific location of the blockage. In many aspects, it is irreplaceable by ultrasound, CT, MRI, hysteroscopy, laparoscopy, fallopian tube endoscopy, etc.

2. Is salpingography painful?

Pain is a common complication of salpingography, but it can be relieved by intramuscular injection of anesthetics before the procedure. Many people feel abdominal pain, which may even be unbearable, and are accompanied by nausea, vomiting, fatigue, and in severe cases, fainting and shock. The angiography tube goes deep into the uterine cavity, stimulating the uterus and fallopian tubes and causing spasms; fallopian tube obstruction or obstructed flow; and the patient's poor pain tolerance can all cause pain. The pain symptoms can be relieved on their own if you rest properly after the operation. It is recommended that patients be observed for 1 hour after surgery before leaving the hospital.

3. How long after fallopian tube can I have a child?

Hysterosalpingography requires the injection of contrast agents into the uterine cavity and fallopian tubes. Contrast agents are divided into two types: iodized oil and iodine water. Generally speaking, pregnancy can be achieved within a month after iodine water contrast imaging. If iodine oil contrast imaging is used, it is recommended to have a child after three months. At the same time, the process of hysterosalpingography may be affected by X-ray radiation, so it is not recommended to have a child immediately after hysterosalpingography.

4. Precautions

1. The operation should be performed 3 to 7 days after the end of menstruation, and sexual intercourse should be abstained for 3 days before angiography.

2. During the operation, pay attention to whether the patient has iodine allergy, prepare rescue drugs, detect and treat it in time.

3. Do not push the contrast agent too hard. If the contrast agent is found to flow back into the veins or lymphatic vessels, the injection should be stopped immediately and the patient should be placed in the right side lying or sitting position immediately to prevent the contrast agent from entering the left ventricle.