What issues should be paid attention to during hysterography?

Hysterography is not the name of a disease, but a way of examining the female uterus. This examination method has a long history. Generally speaking, the examination is relatively safe, does not require anesthesia, and will not be painful, so many people can accept it. But even so, any woman who undergoes hysterography must pay attention to related issues.

First, contraindications

(a) Acute and subacute internal genital inflammation, and minor pelvic inflammation.

(2) Complete abortion.

(V) Allergic reaction: There is usually no reaction when iodized oil is used as a contrast agent.

(6) Intrauterine malignancy with intraperitoneal metastasis.

Second, related issues

Does hysterography hurt?

Causes of hysteroscopy pain:

1) Doctor's proficiency: It plays a decisive role in the pain of hysterosalpingography. Hysterosalpingography is a professional examination of the patency of the fallopian tubes. Only those who specialize in infertility have more equipment. Even if general gynecological clinics offer hysterosalpingography, the number of patients is too small compared to those who specialize in the treatment of infertility.

2) Whether the patient cooperates or not: Some patients do not cooperate with the doctor. Sometimes they are shy or embarrassed, which seriously affects the doctor's operation, so the speed becomes slower.

3) The cervix is ​​tight and needs to be dilated, which increases the angiography step and affects the speed.

4) Uterine factors: The patient may have uterine diseases, such as uterine fibroids, congenitally small uterus, uterine cavity adhesions, or a tight cervical opening and excessive uterine curvature, which increase the difficulty of intubation and slow down the process. If the patient lacks experience, angiography may not be possible. Only an experienced doctor can do it.

Third, indications

1. Infertility: The husband's semen examination shows no abnormality, the patient's BBT is biphasic and the corpus luteum function is good for 3 consecutive menstrual cycles, but still cannot conceive.

2. History of lower abdominal surgery such as appendectomy and cesarean section; history of pelvic inflammatory disease such as gonococcal infection and puerperal infection.

3. Patients with a history of chronic appendicitis or peritonitis, currently suffering from endometriosis, etc., who are being treated for infertility and are suspected of having fallopian tube obstruction.

4. Observe the morphology of the uterine cavity to determine whether there are any uterine malformations and their types, whether there are any uterine cavity adhesions, uterine submucosal fibroids, endometrial polyps and foreign bodies, etc.

5. Laparoscopic examination revealed adhesions outside the fallopian tube cavity, which should be used as a preoperative examination for fallopian tube plastic surgery, because HSG can further provide information on the situation inside the fallopian tube cavity.

6. For patients with a history of multiple spontaneous abortions during mid-pregnancy who are suspected of having incomplete closure of the internal cervical os, observe whether the internal cervical os is loose when not pregnant.