The whole process of hysterosalpingography

When doing hysterosalpingography, it must be done after the menstruation is over and before the ovulation period, so the time must be right. However, after doing hysterosalpingography, the female's lower body will still bleed and may be infected, so hysterosalpingography is also dangerous. So what is the whole process of hysterosalpingography like?

1 The whole process of hysterosalpingography - choosing the time of hysterosalpingography

It is selected from 3 days after the end of menstruation to before ovulation, that is, between the 7th day and the 4th day of the menstrual cycle. If you want to understand the condition of the internal cervical os, you should have angiography after ovulation.

2 The whole process of hysterosalpingography - preoperative preparation

During angiography, the patient lies supine on the X-ray machine operating platform with the bladder lithotomy position. Routinely disinfect the vulva and vagina, lay sterile towels, and check the position and size of the uterus again.

3. The whole process of hysterosalpingography - examination of the uterine cavity

Use a 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.

4. Hysterosalpingography - injecting iodized oil and observing

Fill the intrauterine catheter with 40% iodized oil, expel the air, and insert it into the cervical canal along the direction of the uterine cavity. Slowly inject iodized oil and observe the flow of contrast agent through the fallopian tube and uterine cavity under X-ray fluoroscopy and take films. Take a pelvic plain film 24 hours later to observe whether there is free iodized oil in the abdominal cavity. If diatrizoate solution is used for contrast imaging, the film should be taken immediately after the injection, and a second film should be taken 10-20 minutes later to observe the flow of diatrizoate solution into the pelvic cavity.

5 The whole process of hysterosalpingography - check the results. If there is contraction or spasm of the fallopian tube, acupuncture can be performed on the Hegu and Neiguan points or intramuscular injection of drugs. Take a third film at the same location 24 hours later to observe whether there is free iodized oil in the abdominal cavity. If a clear-boundary iodine mass is seen, tubal adhesions may be considered. If both sides of the fallopian tubes are blocked, there will be no diffuse iodized oil image in the pelvic cavity. If there is a small amount of iodized oil image and residual fallopian tube images, the fallopian tubes may be obstructed.

6 The whole process of hysterosalpingography-postoperative precautions

1. Sometimes tubal spasm may cause the illusion of tubal obstruction. Repeat if necessary.

2. Do not take a bath or have sexual intercourse for two weeks after angiography. Antibiotics may be given as appropriate to prevent infection.

3. It is best to practice contraception for three months after the contrast examination to reduce the possible effects of X-ray exposure. However, clinical observations have found that women who become pregnant in the same month after angiography do not have an increased risk of fetal abnormalities.

4. A small amount of vaginal bleeding within one week after the angiography is normal if there is no other discomfort.