What are the precautions after fallopian tube hydrotubation?

As we all know, tubal hydrotubation is a method to check whether a woman's fallopian tubes are unobstructed. It uses liquid pressure to inject saline into the uterine cavity from the female cervix, and then makes a judgment based on the amount of resistance encountered. Therefore, before and after tubal hydrotubation, female friends should be well prepared and take care of themselves to avoid harm to their health due to momentary negligence. So what should women pay attention to after undergoing fallopian tube hydrotubation?

Things to note after fallopian tube hydrotubation:

First, it is best to do fallopian tube insufflation 3-7 days after the end of menstruation. The main reason is that the examination is done too early and the endometrium has not yet been completely repaired. The gas or oil during the examination may enter the blood sinusoids and form embolism. It may also push the remaining menstrual blood in the uterine cavity into the fallopian tubes and then fall into the abdominal cavity, causing infection or endometriosis. If the examination is performed near the ovulation period, the endometrium is thickened, which can easily cause pseudo-obstruction of the internal opening of the fallopian tube; at the same time, catheter-type instruments inserted into the uterine cavity may scratch the endometrium, which can easily cause uterine bleeding during and after the operation.

Second, the lumen of the internal opening and isthmus of the fallopian tube is thin and the muscle layer is thick, so spasm is prone to occur when stimulated. Therefore, sedatives or antispasmodics should be used appropriately before and during the patency examination.

Third, before the examination, it must be confirmed that there is no active inflammation in the reproductive tract, including negative detection of pathogenic microorganisms in the vagina and cervix. If there is inflammation, check again after a few months after recovery. For those with a history of inflammation, appropriate use of antibiotics should be used to prevent and treat infection and to prevent the onset and spread of inflammation. Sexual intercourse and bathing are prohibited during the examination period.

Fourth, the principle of aseptic operation must be followed during the examination to prevent nosocomial infection. The body temperature on the day of examination should be below 37.5℃.

Fifth, during the patency test, pay attention to blocking the external cervical os to prevent air leakage and fluid overflow that may affect the test results.

Sixth, only one interventional examination can be performed within a menstrual cycle. For example, a patency examination cannot be performed after a curettage or angiography cannot be performed after a perfusion surgery. In particular, other reproductive system surgeries can only be performed several months after angiography.