Fallopian tube angiography is not painful but blocked

Hysterosalpingography is a common examination. This examination is mainly used to check whether the fallopian tubes of women are unobstructed. Because women's fallopian tubes will feel pain when they are blocked, and when they hurt, they are naturally blocked. Therefore, this examination is very necessary, and when doing the angiography, you must choose a more appropriate time so that the examination results are accurate. So, will the fallopian tube angiography be painless?

Is salpingography really painful?

Painless hysterosalpingography will cause a certain degree of pain, and the degree of pain varies depending on the patient's condition. If the fallopian tubes are unobstructed, some patients may not feel any pain. If it is not smooth, there may be varying degrees of pain. These are all related to the morphology of the fallopian tube. The nerve distribution of the fallopian tube is the same as that of other organs, running along the fallopian tube blood vessels, but most of the nerves are distributed in the muscle layer of the fallopian tube, and the distribution of each segment is different, so the pain will be different, but the pain is not severe and the patient can bear it. Don't worry if you bleed; it will usually go away within a week.

In addition, whether the salpingography is painful or not is closely related to the following factors:

1. The cervical opening is tight and small, so dilation is needed, which will increase the angiography steps and affect the normal speed. The angiography examination sometimes cannot be completed directly, which will cause pain to the patient.

2. Patient cooperation: If the patient cooperates well, it will not affect the doctor's normal operation and will not cause pain. However, many patients are shy and embarrassed, which can easily lead to operational errors and affect the speed of the examination.

3. Disease factors: If the patient has uterine diseases, such as uterine fibroids, uterine cavity adhesions, it will increase the difficulty during intubation and slow down the examination. In addition, if the fallopian tubes are blocked, it will also cause pain to women.

4. Doctor’s proficiency: Whether the doctor is skilled or not plays a decisive role. If the doctor is skilled in the operation, the chance of pain will be lower, anyway.

In what cases can salpingography not be performed?

Hysterosalpingography has the advantages of less damage, high accuracy, and in many aspects it is irreplaceable by ultrasound, CT, MRI, hysteroscopy, laparoscopy, fallopian tube endoscopy, etc. So in what cases can salpingography not be performed?

The main contraindications of salpingography are: 1. Acute and subacute inflammation of the reproductive tract. Such as vaginal cleanliness level II to III. 2. Serious systemic diseases, such as heart and lung diseases. 3. Normal delivery, miscarriage, curettage or within 6 weeks after delivery; within 4 weeks of endometrial scraping. 4. Bleeding during menstruation, uterus or cervix. 5. People who are allergic to iodine. 6. Fever. 7. Amenorrhea does not rule out pregnancy.