Under what circumstances should salpingography be performed?

Under what circumstances should salpingography be performed?

Generally speaking, women who have not been able to get pregnant may have blocked fallopian tubes. In this case, they can choose to have a hysterosalpingography to find out whether their fallopian tubes are blocked. If so, they must receive timely and targeted treatment so that they can conceive a baby in time. In addition, let's talk in detail about when to do a hysterosalpingography.

Hysterosalpingography is mainly used for infertile patients. It is recommended to go to a local regular hospital for standardized examination. Generally applicable to the following situations:

1. Infertility: The husband's semen test shows no abnormality, the patient's body temperature monitoring 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, submucosal uterine 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 cervical os closure, observe whether the cervical os is loose when not pregnant.

Be careful not to have sex before the angiography. Go to the hospital to check the routine leucorrhea 3-7 days after the menstruation is over, and perform fallopian tube angiography after confirming that there is no inflammation. After the angiography, you should also refrain from having sex and bathing in a tub for two weeks. You can only take a shower.

Hysterosalpingography is a minor operation. Before the operation, you must make sure that your menstruation has completely ended. Generally, the period from two to seven days of menstruation is suitable for hysterosalpingography. If the menstrual blood has not been completely discharged, it will be inconvenient to observe the blockage of the fallopian tubes of the person being examined.

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