There is a certain time requirement for hysterosalpingography. It cannot be done during menstruation. When doing it after menstruation, the menstruation must be completely clean and before the ovulation period of the woman. Therefore, it is most appropriate to do hysterosalpingography three days after menstruation. In addition, women may bleed during hysterosalpingography. So can hysterosalpingography be done in the afternoon? If a couple has been married for more than a year and has not gotten pregnant, it may be due to infertility. Both husband and wife may have certain reasons that prevent them from getting pregnant normally, so both parties need to have a joint examination. Men should abstain from sex for about five days to check the sperm quality, and women should check the development of follicles after the menstruation is over. If the fallopian tubes are blocked, they can be cleared by treatment. Sometimes it may be related to gynecological diseases, which can be treated with medication. If it is just a simple hysterosalpingography, it can usually be completed on the same day and there is no need to worry too much. Just pay attention to hygiene and rest and don't be overly nervous. You can just go to the local people's hospital. The fallopian tube cannulation should be performed 3-7 days after the menstrual period ends and without a history of sexual intercourse. I don't know when your period is. Just make sure you don't have sex a week before the menstrual period and take precautions against pregnancy. Pathological manifestations of hydrosalpinx: After infection, the fallopian tube becomes mildly or moderately swollen, the fimbria may be partially or completely closed, and adhere to the surrounding tissues. If the fimbria and isthmus of the fallopian tube are closed due to adhesions caused by inflammation, serous exudate accumulates to form a hydrosalpinx. Sometimes, the pus in the pyosalpinx is gradually absorbed, and the serous fluid continues to seep out from the tube wall and fill the lumen, which can also form a hydrosalpinx. The surface of the effused fallopian tube is smooth and the wall is very thin. Since the mesosalpinx cannot extend accordingly with the growth and expansion of the wall of the effused fallopian tube cyst, the effused fallopian tube bends toward the mesentery side, shaped like a sausage or a curved-necked distillation flask, curling backwards, and may be free or have membrane-like adhesions with the surrounding tissues. The mucosal folds are reduced, and a small amount of lymphocyte infiltration is present in the lamina propria. If the fimbria of the fallopian tube is completely blocked, the fallopian tube will be blocked, thus affecting conception. Even if it is not completely blocked, the hydrosalpinx often damages the fallopian tube mucosa. Severe hydrosalpinx can even cause the complete loss of normal function of the fallopian tube, causing the fallopian tube to twist and causing hemorrhagic infarction, which is one of the causes of gynecological acute abdomen. Causes of hydrosalpinx Hydrosalpinx is mostly caused by childbirth, miscarriage, unclean sexual intercourse, or lack of attention to menstrual hygiene, as well as inflammation after gynecological surgery. It can also be caused by inflammation of nearby organs, such as appendicitis, peritonitis, etc. It refers to the infection of the fallopian tube by pathogens, which causes swelling of the endometrium, interstitial edema, exudation, and shedding of the fallopian tube mucosal epithelium due to the infiltration of white blood cells. If the acute inflammation of the fallopian tube is not treated promptly and effectively, fallopian tube abscesses will form. After the inflammation of pyosalpinx subsides, the pus is gradually absorbed and the fluid in the cavity changes from purulent to serous, which becomes hydrosalpinx. Simple pyosalpingitis may evolve into scar salpingitis or hydrosalpingitis after the inflammation subsides. The latter is a common complication of chronic salpingitis, manifested by occlusion of the fimbria and cystic dilatation of the fallopian tube. The wall of the tube becomes thin and translucent, and the cyst is filled with clear serous fluid. The lumens of the dilated and undilated parts of the fallopian tube are still connected, so patients often have vaginal discharge. The muscular layer of the tube wall atrophies or is completely replaced by fibrous connective tissue, and the epithelium is compressed and becomes cubic or flat. |
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