Precautions before and after hysterography

Contrast agents can be used to enhance ultrasound images and are important in hysterosalpingography for determining whether the fallopian tubes are blocked. Since ultrasound is a real-time study, contrast-enhanced ultrasound offers the possibility of perfusion imaging. Some possible applications and indications of contrast-enhanced ultrasound are as follows. The common advantages of MRI and ultrasound are the use of non-ionizing radiation and non-toxic contrast agents. Contrast-enhanced ultrasound may be a safe alternative to MRI for certain indications and a valuable addition to medical imaging. As for hysterography, there are some things to note before and after it.

Fallopian tube examination precautions

1. The time for fallopian tube examination should be 3-7 days after the end of menstruation. Because the examination is done too early and the endometrium has not yet fully repaired, the gas or oil during the examination may enter the blood sinusoids and form an embolism. It may also push the menstrual blood and endometrium remaining in the uterine cavity into the fallopian tubes and then into the abdominal cavity, causing infection or endometriosis. If the examination is performed near the ovulation period, the endometrium is thickened, which can easily cause pseudo-obstruction of the internal opening of the fallopian tube; at the same time, catheter-type instruments inserted into the uterine cavity may scratch the endometrium, which can easily cause uterine bleeding during and after the operation.

2. Before examining the fallopian tubes, you must undergo relevant gynecological examinations to find out whether there is any inflammation, mainly including examinations of the vagina and cervix, to prevent the presence of gynecological inflammation, which may affect women during fallopian tube examinations. If there is inflammation, check again after a few months after treatment. For those with a history of inflammation, appropriate use of antibiotics should be used to prevent and treat infection and to prevent the onset and spread of inflammation.

3. Only one interventional examination can be performed within a menstrual cycle. For example, a patency test cannot be performed after a diagnostic curettage, or angiography cannot be performed after a perfusion surgery. In particular, other reproductive system surgeries can only be performed several months after angiography.

4. During the fallopian tube examination, female patients should abstain from sexual intercourse within 3 days, and also abstain from sexual intercourse for 1-2 weeks after the fallopian tube examination to prevent sexual intercourse from affecting the examination and easily causing pain and bleeding in women.

5. During the fallopian tube examination, female patients need to urinate and perform a cleansing enema to avoid affecting the normal progress of the fallopian tube permeability test or hysterosalpingography, mainly affecting the hysterosalpingography.

6. During the examination, the principle of aseptic operation must be followed to prevent nosocomial infection. The body temperature on the day of examination should be below 37.5℃.

Precautions after fallopian tube examination

1. It is best to practice contraception within three months after hysterosalpingography to reduce the possible effects of X-ray exposure. However, even women who become pregnant in the same month after hysterosalpingography do not need to worry too much, because clinical observations have not found that hysterosalpingography increases the risk of fetal abnormalities.

2. It is normal to have a small amount of vaginal bleeding within one week after the operation, and there are generally no other discomfort symptoms. However, if the amount of bleeding is heavy, even exceeding the amount of menstruation or there are other discomforts, it should be listed as one of the relevant things to pay attention to after salpingography. At this time, you should pay attention to seek medical attention in time.

3. After salpingography, you should take precautions to prevent infection. Therefore, you should refrain from bathing and sexual intercourse for two weeks. If necessary, antibiotics may be given to prevent infection. If necessary, the examination can be repeated to prevent the fallopian tubes from being blocked due to fallopian tube spasm.