Hysterosalpingography review

In the clinical diagnosis of infertility, hysterosalpingography has an undeniable and alternative significance, and infertility accounts for a very large proportion of organic lesions in the female reproductive system. So is it necessary to have a follow-up examination after hysterosalpingography? In this regard, the first thing you need to know is the condition of the fallopian tubes. If the fallopian tubes are unobstructed, there is no need for angiography. If the fallopian tubes are blocked, a reexamination and further treatment are required.

Three to five days after the menstruation is over, without having sex, go for a hysterosalpingography to see if the fallopian tubes can still have a baby normally. Hysterosalpingography plays an important role in the diagnosis of infertility. Organic lesions in the female reproductive system cause a considerable proportion of infertility. Is it necessary to perform angiography more than 20 days after the angiography? First of all, we need to know whether the fallopian tubes are blocked and whether they are unobstructed. If they are unobstructed, it is recommended to do fluid therapy. If they are unobstructed, there is no need for further angiography. We need to check the effectiveness of tuberculosis treatment and then look at the condition of the fallopian tubes.

Hysterosalpingography (HSG) can not only clearly show the size, shape and position of the uterine cavity, understand whether the uterus is adhered and whether there are space-occupying lesions, and understand whether the fallopian tubes are blocked or hydrops. In addition to clarifying the site of obstruction and the degree of hydrops, it can also further understand the condition of the pelvic cavity, providing a strong diagnostic basis for clinical treatment and prognosis.

Accuracy rate up to 98%

This examination is less invasive and, under the operation of an experienced doctor and with the use of a digital X-ray machine, can make a correct diagnosis of fallopian tube obstruction with an accuracy rate of 98%. It also has a certain therapeutic effect and is currently 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.

Analysis and Recommendations

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.

Precautions

The main effect of hysterosalpingography is some pain, which is generally tolerable. Since the angiography tube goes deep into the uterine cavity, it will stimulate the uterus and fallopian tubes and cause a certain amount of pain. If the fallopian tubes are blocked, pain is more likely to occur. However, since everyone's tolerance to pain is different, the pain is also different. 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.