Do angiography a few days after menstruation

The medical technology of angiography is widely used in internal examinations of the female reproductive system, especially when there are problems with the ovaries and fallopian tubes. In many cases, angiography is needed. There is also a time choice for angiography. Generally, it is not suitable for women to do angiography during menstruation because the endometrium of women is relatively weak at this time. So, would it be better to do angiography in the last few days of menstruation?

1. How many days after menstruation should angiography be performed?

Hysterosalpingography is performed within 3-7 days after the end of menstruation, and in principle it can be performed on the sixth day of menstruation. It is recommended to wait 3 days after the next menstruation to do angiography. The endometrium is thin and less likely to cause bleeding and endometriosis.

2. Indications for salpingography

1. Auxiliary examination for infertility.

2. Chronic inflammation of reproductive organs, tuberculosis lesions, etc.

3. Malformations of reproductive organs, such as septate uterus, saddle-shaped uterus, etc.

4. Uterine tumors, such as submucosal fibroids, etc.

5. Abnormal morphology of the cervical canal, etc.

Contraindications of salpingography

1. There are serious diseases in the whole body.

2. Acute inflammation period of reproductive organs.

3. Irregular vaginal bleeding, or menstrual period.

4. Body temperature above 37.5℃.

5. Patients with malignant tumors in the uterine cavity.

6. Pregnancy.

7. People who are allergic to iodized oil.

4. The process of salpingography

1. The patient takes the lithotomy position, disinfects the vulva and vagina with 0.25% active iodine, exposes the cervix with a vaginal speculum, and disinfects the cervix again.

2. Use a cervical forceps to clamp the anterior lip of the cervix and pull it outwards. Insert the sterilized double-lumen balloon tube into the external os of the cervix. Use a syringe to inject 1 to 2 ml of air into the balloon. Gently pull the double-lumen tube outwards by hand without slipping.

3. Ask the patient to lie supine on the fluoroscopic table under X-ray, and inject 10 ml of the prepared 20% to 40% iodized oil through the double-lumen tube. Take a film when the iodized oil fills the uterus and fallopian tubes, and pay attention to whether the iodized oil spreads from the fallopian tube opening to the pelvic cavity. Ask the patient to take the second film after 24 hours.