What is the best time to check the fallopian tubes?

Blocked fallopian tubes often lead to infertility in women. At this time, you should go to the hospital for regular examination in time. The examination method is generally fallopian tube radiography. Women can have angiography within three to seven days after the menstruation is over. At this time, the impact on the female endometrium is relatively small. Through a good examination, the cause of the disease can be found and specific treatment can be carried out.

Methods for checking fallopian tube obstruction:

1. Fallopian tube ventilation: It is rarely used now because of the risk of air embolism.

2. Fallopian tube insufflation: In clinical practice, the diagnostic compliance rate of fallopian tube insufflation is only 50% (low accuracy rate). It cannot determine whether the fallopian tube is blocked, and it cannot understand the location and nature of the fallopian tube blockage.

3. Hysterosalpingography (HSG): It can not only indicate whether the fallopian tubes are unobstructed and the location of the blockage, but also observe the morphology of the uterine cavity. This type of examination is relatively safe, does not require anesthesia, does not cause obvious pain, and is acceptable to patients. It is currently the most widely used and most economical preferred examination method.

4. Radionuclide salpingography: Because radionuclides are radioactive, they are rarely used clinically.

5. Laparoscopic fallopian tube hydrotubation: Under epidural or general anesthesia, after laparoscopic examination of the pelvic cavity, methylene blue solution is injected into the uterine cavity through a double-lumen tube. The laparoscopy is used to directly observe the shape of the uterus, ovaries, and fallopian tubes, their mobility, and whether there are adhesions to the surrounding tissues, whether there is fluid exudation from the fimbria, and the amount and speed of the outflowing fluid, so as to judge the degree of obstruction. Pelvic adhesion lysis, electrocoagulation of ectopic lesions, and puncture of ectopic cysts can also be performed. The procedure is minimally invasive and does not require hospitalization. However, only the distal end of the fallopian tube can be cleared and inspected.

6. Hysteroscopic tubal insufflation: It is impossible to understand the specific location and nature of the blockage in the fallopian tube.