What should I pay attention to after the angiography?

Following the success of the first edition and recent advances in the field of ultrasound contrast agents, ultrasound contrast agents for clinical use are now covered, in addition to a focus on the physics, principles, and radiologic techniques of fallopian tube applications. The dramatic improvement in the performance of ultrasound contrast agents and the fact that more contrast agents have been thoroughly investigated and are now available on the market mean that clinicians and researchers must keep abreast of all developments in this revolutionary field. In recent years, salpingography has been widely used in clinical practice. So what should we pay attention to after salpingography?

Hysterosalpingography is an examination of the morphology of the uterine cavity and fallopian tubes, as well as the patency of the fallopian tubes. Currently, the most common method is hysterosalpingography under X-ray. In recent years, the application of ultrasonic hysterosalpingography has gradually increased. Most domestic hospitals or related institutions and centers use hysterosalpingography under three-dimensional ultrasound.

The main steps of hysterosalpingography are to insert a double-lumen single-balloon catheter into the cervical canal through the vagina, inject contrast agent, and observe the contrast agent flowing through the uterine cavity and fallopian tubes under X-ray or ultrasound. Because the operation needs to pass through the vagina and cervix and enter the uterine cavity, there is a risk of infection and bleeding. Therefore, salpingography should not be performed during pregnancy, menstruation, abnormal uterine bleeding, and within 6 weeks after delivery, miscarriage, and curettage. Patients with reproductive system inflammation and severe systemic diseases are also not suitable for salpingography. In addition, there are some other precautions before and after hysterosalpingography.

Preparation before angiography: 1. Within 3-7 days after the end of menstruation, sexual intercourse is prohibited before the operation and pregnancy is ruled out. 2. Check the leucorrhea to rule out inflammation of the reproductive system. 3. Atropine can be injected intramuscularly half an hour before the operation to relieve spasms and prevent stimulation of the cervix leading to cardio-cerebral syndrome or causing fallopian tube spasm. 4. If iodized oil contrast medium is used, an iodine allergy test is required.

Precautions after contrast imaging: 1. If dizziness, rash, nausea, vomiting, difficulty breathing, etc. occur, you may be allergic to iodine contrast agent and need to seek medical attention immediately. 2. During the month of angiography, sexual intercourse and bathing should be avoided, and oral antibiotics should be taken to prevent infection. If there are fever, lower abdominal pain, abnormal leucorrhea and other discomforts, anti-infection treatment is required. 3. Mild lower abdominal pain and a small amount of vaginal bleeding after angiography are normal. If the abdominal pain is severe or the vaginal bleeding exceeds the menstrual volume, there may be uterine perforation or cervical laceration. 4. In addition to its inspection function, hysterosalpingography also has a slight effect of clearing the fallopian tubes. After the examination, you can see the reproductive department for guidance on the next pregnancy preparation plan. If the fallopian tubes are unobstructed, you can actively try to get pregnant.