Bleeding after salpingography

Hysterosalpingography is a common treatment method for female fallopian tube obstruction in modern clinical practice, and its prognosis requires more attention. In fact, some female friends experienced bleeding after undergoing hysterosalpingography in clinical practice, and they felt very uneasy about it. Do you know what causes bleeding after hysterosalpingography? What other things should we pay attention to? Let's introduce the relevant content in detail below.

Post-contrast bleeding is mainly caused by stimulation to the endometrium during contrast imaging, and post-contrast vaginal bleeding is a normal phenomenon after surgery. This has no effect on the body, and there is no need to take hemostatic drugs or other treatments. You only need to follow the doctor's instructions, abstain from sexual life, pay attention to hygiene, and avoid infection. This situation generally lasts about 3-7 days. If bleeding still occurs after more than 7 days, the following situations should be considered: 1. Infection caused by lax aseptic operation during angiography, 2. Infection before angiography, 3. Endocrine disorders and irregular menstruation, 4. An endometrial disease itself, so don't worry about it now, observe first. If it lasts more than 7 days, you need to go to the hospital for examination in time to clarify the cause and take relevant medications under the guidance of a doctor.

Things to note after the imaging

1. Things to note after angiography

1.1. After angiography, bathing and sexual intercourse are prohibited for two weeks. Antibiotics may be given as appropriate to prevent infection.

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

1.3. A small amount of vaginal bleeding within one week after the angiography is normal if there is no other discomfort. If the amount of bleeding is more than the menstrual volume or if you feel uncomfortable, contact a doctor immediately.

1.4. Depending on the contrast agent selected, contraception will be required for a corresponding period of time after the examination.

2. Things to note after angiography

2.1. It should be performed about 3-7 days after the woman's menstruation is completely over.

2.2. Before the examination, be sure to check whether there are other inflammations in the reproductive tract, including vaginal and cervical examinations. During the examination period, sexual intercourse and bathing must be avoided.

2.3. Generally, during the patency check, you must pay attention to blocking the external cervical os tightly and prevent air leakage and fluid overflow, which will affect the judgment of the test results.

2.4. During the examination, the specific principles of aseptic operation must be followed to prevent chlamydial infection. Moreover, on the day of examination, the patient's body temperature must be maintained at 37.5℃.

3. Female diseases require imaging examination

3.1. Patency of fallopian tubes: The patient's uterus is filled and shaped like an inverted triangle, and the patient's fallopian tubes on both sides are bent like worms on both sides of the uterus. At this time, we found that the contrast agent first filled the narrow part of the proximal end of the fallopian tube, and then quickly filled to the end of the ampulla, and finally diffused from the fimbria to the pelvic cavity.

3.2. The fallopian tube is open but not smooth: resistance was found when the contrast agent was injected during the examination, and we found that the contrast agent entered the pelvic cavity slowly. We found that after stopping the injection of contrast agent for several minutes, we could still see the contrast agent diffusing in the pelvic cavity, but the diffusion effect was not very obvious.

3.3. Fallopian tube blockage: Clinical surgery will show that the fallopian tubes of women do not show up in contrast examinations or do not show up after a period of contrast. We found that when a certain dose of contrast agent is injected, the resistance increases, and no contrast agent shadow is diffused in the pelvic cavity.

What are the side effects of angiography?

1. Hysterosalpingography is a procedure in which contrast agents are injected into the uterus and fallopian tubes and monitored under the fluoroscopy of an X-ray machine. This will cause the body to absorb some of the X-rays. However, the damage caused by transient X-ray exposure is mild and reversible. When undergoing routine X-ray examinations, be sure to pay attention to protection, but there is no need to be afraid.

2. X-ray hysterosalpingography uses iodine contrast agent. 40% iodized oil has high density and good imaging effect, but it is very irritating and can cause severe abdominal pain after surgery. It can sometimes cause chemical peritonitis. The examination time is long, the absorption is slow, and it can easily cause foreign body reaction and form granulomas. If a large amount enters the vein, there is a risk of causing oil embolism.