How to do salpingography

Hysterosalpingography is mainly a method to check whether the fallopian tubes are unobstructed. If the fallopian tubes are blocked, the location of the blockage can also be checked. It is much clearer than ordinary B-ultrasound examination, and the damage during hysterosalpingography is relatively small. Combined with the use of digital machines, the accuracy of diagnosis is very high. Many patients with tubal infertility will undergo hysterosalpingography.

However, the hysterosalpingography examination must be done within three to seven days after the menstruation is over. The urine must be completely emptied before the examination. Sexual intercourse and bathing in a tub are not allowed within two weeks after the examination. In addition, personal hygiene should be paid attention to avoid infection. In terms of diet, more nutritious foods should be eaten, and spicy foods should be avoided. The following will introduce how to do hysterosalpingography, I hope it will be helpful to you.

Imaging process

The first step is to dilate the vagina and expose the cervix. The cervix and fornix are disinfected with iohexol, the cervical catheter is filled with iohexol, the air in the tube is removed, the tube is inserted into the cervical canal along the direction of the uterine cavity, and the cervical clamp is tightened so that the conical rubber head of the catheter fits tightly against the cervix to prevent the drug from flowing out.

The second step is that during the hysterosalpingography examination, the patient lies on his back on the X-ray machine operating platform, routinely disinfects the vulva and vagina, then lays a sterile towel, and then checks the position and size of the uterus.

The third step is to observe the contrast agent flowing through the uterine cavity under X-ray fluoroscopy, and slowly inject iodized oil under fluorescent fluoroscopy. The first injection volume is 3~5ml. Observe its entry into the uterus and flow through the fallopian tube. At this time, a picture will be taken and then iodized oil will continue to be pushed in. Continue taking pictures after 5-10 minutes.

Step 4. Take another picture at the same location one day later, and observe whether there is free iohexol in the abdominal cavity. If both fallopian tubes are blocked, there will be no iodized oil in the pelvic cavity. If there is only a small amount of iohexol, it can be considered that the fallopian tubes are obstructed.

Indications

1. Infertility is used to understand the causes of primary or secondary infertility. It can not only understand whether there are congenital malformations or pathological conditions in the uterus and fallopian tubes, but also understand whether the fallopian tubes are unobstructed, thereby finding the cause of infertility. In some cases, hysterosalpingography can help blocked fallopian tubes become unobstructed and lead to conception.

2. Abnormal uterine bleeding: Find the cause of abnormal uterine bleeding, understand the condition of uterine mucosa and uterine cavity, and determine whether abnormal bleeding is caused by endometrial polyps or submucosal myoma.

3. To recanalize the fallopian tubes after tubal ligation, it is necessary to understand the condition of the uterus and fallopian tubes to decide whether surgery can be performed.

4. Tumor observation: the impact of uterine fibroids, adnexal tumors and other pelvic organs on the uterus and fallopian tubes.

5. Malformation diagnosis: Uterine malformations such as bicornuate uterus, septate uterus, etc.

6. Foreign body diagnosis of misplaced metal intrauterine contraceptive device.

7. Diagnosis of adhesions: intrauterine adhesions, cervical adhesions, etc.

Everyone has a basic understanding of how to do hysterosalpingography. After the examination, you need to rest in bed more to avoid being too tired. In addition, the oral medication prescribed by the doctor must be taken on time, especially for friends who want to get pregnant. Only by taking good care of your body can you welcome the arrival of new life.