Information for Patients and Families Before Tubal Angiography

  Do you know why a tubal imaging test is needed? In recent years, infertility has become a hot topic on the Internet as the number of people with infertility increases year by year. There are many factors that cause infertility, and tubal disease has become one of the main causes of female infertility and is widely concerned. In order to figure out the degree of patency of the fallopian tubes, so it is necessary to do the corresponding examination.
  The fallopian tubes play a pivotal role in the whole process of conception and are the channels for transporting sperm and eggs. Once the fallopian tubes become diseased, it will lead to infertility. Studies have found that traditional tubal blockage, tubal obstruction, tubal patency, tubal effusion and tubal adhesion have become the culprits leading to female infertility, and the incidence is increasing year by year. Therefore, tubal examination is a basic test in infertility examination, which is very important.
  What are the advantages of tubal angiography?
  First: commonly used are 60% or 75% pantethine glucosamine or iodophorol, aqueous agents, which are quickly absorbed by the body and do not easily block the fallopian tubes. Second: The accuracy of the test results is very high.
  Third: the result will be available in 20 minutes, saving the examination time and waiting time.
  Fourth: high safety and light pain.
  Fifth: fast visualization, less irritation to pelvis, uterus and fallopian tubes, no pain. It has therapeutic effect on mild inflammation.
  Sixth: The results are accurate and clear and easy to preserve.
  Seventh: Operated by the doctor himself, with on-site participation in diagnosis.
  Eighth: easy to absorb and does not affect conception in the following month.
  What is the difference between tubal lavage and angiography?
  1. Tubal lavage is the injection of saline and dexamethasone into the uterine cavity, and the doctor will determine whether the tubes are open or not based on his personal experience.
  2.Tubal imaging is done under the surveillance of radiology x-ray machine by injecting contrast agents that can be displayed in the x-ray machine, such as pantopamine and iophorol, into the uterus and fallopian tubes, and the x-ray machine will record the morphology of the uterus and the patency of the fallopian tubes at any time.
  What are the reasons why tubal lavage affects fertility?
  1. It cannot unblock the fallopian tubes and has a high rate of misdiagnosis Tubal lavage is only a preliminary determination of whether the fallopian tubes are blocked or not.
  2. Damage to the function of the fallopian tubes Many women who have undergone tubal lavage have bleeding after the examination, which is due to the improper operation of tubal lavage examination and damage to the function of the fallopian tubes.
  3, aggravate the tubal effusion etc. Tubal lavage can be very painful for patients because it relies on liquid pressure for judgment, and it may also cause tubal effusion etc.
  What are the side effects of tubal lavage?
  1. High misdiagnosis rate Data shows that the misdiagnosis rate of tubal lavage is more than 50%, which can neither determine the site of tubal obstruction, nor clarify the severity and nature of tubal obstruction.
  2, the examination is too limited tubal lavage is a blind lavage method, the lavage process can not see the specific process of the injected liquid in the patient’s body, only through the patient’s feelings to determine whether the fallopian tube is open, and does not help to determine the location of tubal lesions, whether there is water retention, etc.
  3. Patients suffer a lot of pain during tubal lavage, which is very painful for the patients and most women will have vaginal bleeding and abdominal pain for a longer period of time after the tubal examination.
  Do you know what problems can be reflected in a tubal imaging film?
  no.1 The largest inverted triangle – the uterus.
  The normal uterine morphology is shown as an inverted triangle based on the morphology of the uterus to determine if there is a malformation of the uterus. Such as: longitudinal uterus, unicornuate uterus, stump uterus, etc.
  No.2 Thin lines on both sides – fallopian tubes.
  The normal fallopian tubes are one on each side, about 8-14 cm long. This long, thin tube is where the sperm and egg meet and is also responsible for transporting the fertilized egg to the uterine cavity. The umbilical ends of the fallopian tubes act like small hands to pick up the eggs discharged from the ovaries.
  The film can reflect the filling of the fallopian tubes, the diffusion of the umbilical end, and whether the tubes are going up and coiled. A good tubal filling and diffusion of the umbilical end are not in a “surrendered” uplifted form.
  No.3 Look at the dispersion of the contrast medium in the pelvis.
  In a normal pelvic cavity without adhesions, the contrast medium will diffuse well in the pelvic cavity. If the dispersion is not particularly good, it may indicate the presence of pelvic adhesions.
  What are the indications for tubal imaging?
  Tubal imaging has a wide range of indications compared to tubal aeration and lavage, such as infertility, tubal recanalization, genital malformations, abnormal uterine bleeding, and changes in the condition of the fallopian tubes after various sterilization measures. This method has the advantages of less damage, quicker recovery and higher accuracy rate.
  Several issues related to angiography
  no.1 What is the cost of tubal angiography?
  Our hospital fully follows the uniform standard of the National Ministry of Health and the price is clearly marked, which is affordable for every patient. Of course, the cost varies depending on the region, the level of the hospital, the equipment used and the contrast agent used.
  No.2 What should I do before my tubal angiogram?
  The test must be performed within 3-7 days after menstruation. It is forbidden to have sex before the test and vaginal inflammation should be treated before the test.
  no.3 What tests are needed before the tubal imaging?
  Routine vaginal ultrasound, gynecological examination, vaginal discharge test, urine pregnancy test and electrocardiogram are required. If there is no abnormality in the test results, tubal angiography can be done.
  no.4 Do I need to make an appointment for tubal imaging?
  We can do tubal angiography every afternoon and no appointment is needed beforehand. However, it may take 1-2 hours to complete the pre-tubal screening.
  No.5 How long does a tubal angiogram take?
  An iodine allergy test is required before the tubal angiogram, which takes about 20 minutes. Our tubal angiography uses the most advanced large flat X-ray machine in China, with fast diffusion of contrast agent and clear image development, the whole process takes about 5-10 minutes, and the film is taken after 20 minutes.
  No.6 How many times can I get pregnant after tubal imaging?
  Experts say that you can get pregnant in the second month after the tubal imaging because the aqueous contrast agent is completely absorbed by the body and is safe without side effects.
  No.7 Do I need to eat before the tubal imaging?
  It is not necessary to eat before the tubal imaging. Patients are advised to come to the hospital for examination after eating to avoid hypoglycemia caused by hunger.
  no.8 Do I need a companion for my tubal angiogram?
  Although tubal angiography does not cause severe pain, our hospital requires a companion or family member for tubal angiography to avoid accidents on the way to and from the hospital.