What tests are done to check if the fallopian tubes are blocked?

As we all know, the fallopian tubes are very important reproductive organs for women. For women, this is also a necessary condition for pregnancy. The egg cell and sperm combine in the fallopian tubes to form sperm-egg combination. So, how to check whether the fallopian tubes are blocked? Next, let’s learn about it together.

How to check whether the fallopian tubes are blocked

Early inspection. If it is not necessary, don't consider doing fallopian tube examination first. It should be done on the basis of early examination and treatment, and when it is guaranteed that there are no problems with endocrine system and eggs, because this fallopian tube examination will have some effects on women's body.

The time is clear. The fallopian tube examination should be done within 2-4 days after the end of the menstrual period, and the couple has not had sex before. Therefore, if you want to do the examination, you need to prepare in advance, otherwise it will affect the examination results.

Treat and understand correctly. The purpose of fallopian tube examination is to check whether the bilateral fallopian tubes are unobstructed. It is divided into two types: hydrotubation and contrast examination. Hydrotubation is cheaper, but it may be more painful, and the results are not as clear as contrast examination. The effect of contrast examination is more obvious. Although the cost is lower, the operator is less comfortable and the pain is less.

Prepare items and expenses in advance. After making an appointment with the doctor, in addition to preparing the necessary examination fees, you should also pay attention to your clothing and wear boots that are easy to take off and looser jeans. In addition, you should prepare some handkerchiefs in advance, because there may be bleeding after the examination, so you need to use paper or sanitary napkins for hygiene care.

Accompanied by relatives. If possible, it is best to let a family member accompany you to the hospital, especially for those who are more sensitive to pain. After the examination, you may feel more pain within ten to thirty minutes and be unwilling to walk. It will be more convenient if a family member is around at this time, but ordinary people may only feel pain for a few minutes.

Check the results. The results of the angiography will be released after the examination. In addition to the clear picture, the results will also have a text description of the doctor's diagnosis. If you don't understand, you can find your attending physician for details.

Fallopian tube blockage test

1. Hydrotubation. Hydrotubation is a procedure in which a tube is inserted into the patient's uterine cavity, and 20 ml of a liquid medicine is then injected through the tube. The liquid medicine is usually saline with antibiotics added. The medicine flows from the uterus through the bilateral fallopian tubes and finally reaches the pelvis. According to the characteristic that the uterus can only hold 5ml of volume, if all 20ml of solution can be introduced offline without friction, and no liquid returns to the syringe after releasing the syringe, it indicates that the solution has passed through the uterus and the fallopian tube cavity into the abdomen, indicating that the fallopian tubes are unobstructed; if the friction resistance is very large, and more than 10ml of solution returns to the syringe after releasing the syringe, indicating that the fallopian tubes are blocked; if there is friction resistance, most of the liquid will be introduced, and only a small amount will flow back, indicating that the fallopian tubes are unobstructed.

2. Color Doppler ultrasound examination. Color Doppler ultrasound examination of both fallopian tubes includes general color Doppler ultrasound examination and ultrasound fluid infusion. In general, some hydrosalpinx can be detected on ultrasound, which is manifested as enlarged and thickened liquid shadows on both sides of the uterus. However, ultrasound cannot diagnose whether it is hydrosalpinx or ovarian cyst. It can only be diagnosed as: it reminds the possibility of water accumulation.

3. X-ray hysterography. X-ray hysterography can show the size, shape and position of the uterus and the shape of the bilateral fallopian tubes on the monitor and X-ray images. If the disease is unobstructed, the image is extended to the bilateral fallopian tube fimbria ports, and the diffusion of contrast agent in the pelvis can also be seen on the X-ray. If the fallopian tube is blocked, the location, degree and characteristics of the blockage can be clearly displayed.

4. Laparoscopic examination. By introducing melanin liquid such as methylene blue into the uterine body through the uterine hose, laparoscopic surgery is used to observe that methylene blue overflows from the fimbriae of both fallopian tubes into the pelvis, which means it is smooth. If there is proximal blockage of both fallopian tubes, methylene blue liquid will not overflow from the fimbriae of both fallopian tubes into the abdomen. If there is distal blockage of both fallopian tubes, it can be seen that the fimbriae of both fallopian tubes and the ampullae of both fallopian tubes are enlarged, thickened and stained blue, but no methylene blue liquid flows from the fimbriae of both fallopian tubes and is injected into the abdomen.