How to watch a hysterosalpingogram

Hysterosalpingography is a method of fallopian tube examination that many people choose. But can you see the video of hysterosalpingography clearly? When looking at a hysterosalpingography, the first thing you need to look at is the size and shape of the uterus and the condition of the endometrium, then the patency of the fallopian tubes, and finally the pelvic diffusion of the delayed film contrast agent combined with the previous film to judge the patency of the fallopian tubes and make a general understanding and judgment on whether there is any pelvic adhesion.

1. Normal appearance of the uterus: The uterine cavity is an inverted triangle, and the uterine cavity filled with contrast agent has uniform density and smooth edges.

2. Unicornuate uterus: The uterine cavity is fusiform, like a willow leaf, and is connected to it by a fallopian tube.

3. Bicornuate uterus: The uterine body is not fused, showing two uterine cavities and one cervical canal.

4. Saddle-shaped uterus: the fundus of the uterus is concave.

5. Uterine hypoplasia: Angiography shows that the length of the cervical canal is greater than the length of the uterine cavity and the volume of the uterine cavity is small.

6. Uterine cavity adhesions: single or multiple constant irregular filling defects with clear and sharp edges and rough edges of the uterine cavity.

7. Patency of the fallopian tube: The entire fallopian tube is displayed clearly and runs normally. After 20 minutes, a uniform coating image is seen in the pelvic area.

8. The fallopian tube is open but not smooth: The whole lumen of the fallopian tube is still clearly visualized, and the course is normal, but the distal contrast agent is discharged less. After 20 minutes, the smear image in the pelvic area is light (when both sides are open but not smooth) or normal (when unilaterally open but not smooth).

9. Fallopian tube obstruction: (including obstruction of the interstitial part, isthmus, ampulla, and fimbria) the fallopian tube is partially or completely not visible, and after 20 minutes, there is no fallopian tube shadow with smear or only residual contrast agent in the pelvic area.

Tubal infertility accounts for 40%-60% of female infertility, posing a serious threat to women's happiness. Before treatment, examination is the first thing to do. Only by finding the cause of the disease can the disease be treated symptomatically more quickly. Currently, hysterosalpingography is a safe and effective method for examining fallopian tube lesions.

So in a word, pain is not common and can be avoided by relaxation. As long as you are fully prepared mentally and try to relax yourself during the angiography process, you can avoid pain to the greatest extent and ensure the accuracy of the angiography.

You can try to get pregnant after your first period after the angiography. Of course, if it can be combined with ovulation monitoring, it will be more effective.

The usual time is 3-7 days after the end of menstruation. If the examination is done too early, the endometrium has not yet been fully repaired, which can easily cause infection, endometriosis, etc. If the examination is done too late, the endometrium is too thick, which can easily cause pseudo-obstruction of the internal opening of the fallopian tube or abrasion of the endometrium by catheter-type instruments, which can easily cause bleeding during and after the operation. So don't tell your doctor about a bad menstrual cycle because of something else.