Should I do angiography or hysteroscopy first?

Contrast examination is also a common examination. Like hysteroscopy, it is used in gynecological diseases with a high probability. Both of these examination methods use a mirror to observe the condition inside the uterine cavity. Both are harmful. In addition, during the hysteroscopy, you will feel pain very quickly. So should you do the contrast examination first or the hysteroscopy first?

Hysteroscopy is mainly to understand the situation in the female uterine cavity. The examination method is to use a mirror to observe the shape of the uterine cavity and whether the openings of the fallopian tubes on both sides are clearly visible. It is thus possible to determine whether there is a lesion, as well as the location, size, appearance and range of the lesion. With the help of a hysteroscope, the lesion can be carefully observed, and sampling and positioning for curettage can be performed under direct vision, greatly improving the accuracy of diagnosis of intrauterine diseases.

Hysterosalpingography is a method of examination in which contrast agent is injected into the uterine cavity and fallopian tubes through a catheter, and then X-rays are taken to determine whether the fallopian tubes are unobstructed, the location of obstruction, and the morphology of the uterine cavity based on the visualization of the contrast agent in the fallopian tubes and pelvic cavity. Although it is a diagnostic examination item, don't ignore its therapeutic effect. Studies have reported that the pregnancy rate of infertile women can be improved after hysterosalpingography.

Although salpingography is not as good as hysteroscopy in comprehensive functions, hysteroscopy is not as good as salpingography in observing the patency of the fallopian tubes, the course of the fallopian tubes, and whether there are adhesions of the fallopian tubes. Therefore, when choosing between the two types of examinations, you must decide based on your specific circumstances and never generalize.

In addition, many people have asked whether it is necessary to do hysteroscopy before doing IVF?

Of course the answer is yes. An expert once summarized the results of 1,000 routine hysteroscopy examinations before IVF, among which 62% had normal uterine cavity, 32% had endometrial polyps, and 3% had submucosal fibroids and intrauterine adhesions each. Therefore, experts believe that lesions in the uterine cavity will directly affect the success rate of test tube fertilization.

According to a large sample survey conducted by a foreign reproductive center, when women experience repeated IVF failures, the most important intervention measure is hysteroscopy. Further studies have also shown that the clinical pregnancy rate is significantly increased in patients whose uterine cavity abnormalities are found during hysteroscopy and who receive corresponding treatment. Therefore, if conditions permit, hysteroscopy should be included as a routine diagnosis and treatment method.

However, speaking objectively, although hysteroscopic surgery has many advantages such as direct vision, minimally invasive, and safety, and has been widely used in clinical practice, as an invasive examination and treatment method, the indications and contraindications must be strictly controlled. Again, in medicine there is no such thing as one test that can solve all problems. I wish you all a happy pregnancy and a happy life.