Hysterosalpingography preparation and procedure

There are many women who have difficulty getting pregnant. There are often many influencing factors, especially some infertility caused by blocked fallopian tubes. Therefore, many women want to undergo hysterosalpingography. So what are the preparations and process steps before hysterosalpingography? Let's take a look at the detailed introduction below.

Preparations before salpingography include:

1. The patient should refrain from sexual intercourse for 3 to 7 days after the menstruation is over.

2. Atropine 0.5 mg can be injected intramuscularly half an hour before the operation to reduce fallopian tube spasm.

3. The patient empty his bladder.

4. Ask whether there is a history of iodine allergy.

5. Patients with constipation can take laxatives orally before surgery to keep the uterus in a normal position and avoid the false impression of external pressure.

Steps of the salpingography process

During the hysterosalpingography examination, it has a certain therapeutic effect on some patients with mild adhesions. Some patients with tubal infertility can also become pregnant after hysterosalpingography to make the blocked fallopian tubes unobstructed.

1. Choice of time for hysterosalpingography. The best time to do hysterosalpingography is within 3 to 7 days after the end of menstruation. For patients with irregular menstruation, it can be delayed to 10 days. For patients with particularly irregular menstruation, such as amenorrhea, it can be done at any time, but the possibility of pregnancy must be ruled out. For a very small number of women, there will be a small amount of vaginal bleeding in the first month after pregnancy. Therefore, women with scanty menstruation or amenorrhea must rule out the possibility of pregnancy.

2. Iodine allergy test. Medical personnel involved in skin testing and salpingography must be prepared with emergency medicines in case of sudden allergic reactions during the skin testing and salpingography. It is necessary to ensure that each needle and tube is used separately and avoid using alcohol or other disinfectants to disinfect the local skin before the skin test, so as not to affect the effect of the skin test. Take 0.1 ml of 30% glucamine for intradermal injection and inject the drug into the lower third of the skin on the palm side of the forearm through puncture. Then inject glucosamine, observe after 15 to 20 minutes to judge the experimental effect, then record the skin test results in the electronic medical record and write out the corresponding prescription based on the skin test results.

3. Preparation before salpingography. Patients undergoing salpingography should refrain from sexual intercourse 3 to 7 days after their menstruation ends. When doing hysterosalpingography, 0.5 mg of atropine can be injected intramuscularly half an hour before the operation to reduce tubal spasm. Patients undergoing hysterosalpingography should empty their bladders. Before doing salpingography, ask whether there is a history of iodine allergy. An iodine allergy test is performed half an hour before imaging. Generally, a skin scratch test is performed, but a conjunctival test or a venous test may also be performed. Patients with constipation can take laxatives orally before surgery to keep the uterus in its normal position and avoid the false impression of external pressure.

4. The operation process of salpingography. Patients undergoing hysterosalpingography take the lithotomy position, routinely disinfect the vulva and vagina, lay sterile towels, and check the position and size of the uterus. Use a vaginal speculum to dilate the vagina and fully expose the cervix. Disinfect the cervix and vaginal vault again, clamp the anterior lip of the cervix with a cervical forceps, and explore the uterine cavity. If a metal catheter is used to fill the catheter with contrast agent, expel the air, and then insert the catheter into the cervix, block the external cervical opening tightly to prevent the contrast agent from overflowing, observe the flow of contrast agent through the uterine cavity and fallopian tube under X-ray fluoroscopy and take pictures. It is important to note that when taking pictures during hysterosalpingography, the contrast agent must flow through the fallopian tubes at the right time, and a certain pressure must be maintained while the contrast agent is flowing. Only in this way can we clearly understand the specific patency of the lumen.

The above content provides a comprehensive introduction to the preparations and process steps before hysterosalpingography. Therefore, for many women who want to undergo hysterosalpingography, they must have a comprehensive understanding of the above content, understand the preparations before the operation, understand the process and steps, and then choose a regular hospital to undergo hysterosalpingography so that they can get pregnant as soon as possible.