It is a method of examining whether the fallopian tubes are patent, the site of obstruction and the morphology of the uterine cavity by injecting contrast into the uterine cavity and fallopian tubes through a catheter and using an X-ray diagnostic instrument to perform X-ray fluoroscopy and film taking.
It is the most commonly used test to find out whether the fallopian tubes are patent, the degree of patenting and the specific site of blockage. In many ways, it is irreplaceable by ultrasound, CT, MRI, hysteroscopy, laparoscopy, tuboscopy, etc.
Indications.
1. Infertility: It is used to understand the cause of primary or secondary infertility. It can not only understand whether there are congenital malformations or pathological conditions present in the uterus and fallopian tubes, but also whether the fallopian tubes are patent, so as to find the cause of infertility. In some cases, after hysterosalpingography, it can induce the incompetent fallopian tubes to become patent and conceive.
2.Tubal recanalization: For tubal recanalization after tubal ligation, it is necessary to understand the condition of the uterine tubes to decide whether the operation can be performed.
3.Diagnosis of malformation: uterine malformation such as bicornuate uterus, longitudinal uterus, etc.
Contraindications
1. Acute and subacute inflammation of the reproductive tract. Such as vaginal cleanliness II to III degree.
2.Serious systemic diseases, such as heart and lung diseases.
3.Normal delivery, miscarriage, scraping or within 6 weeks after delivery; scraping of endometrium within 4 weeks.
4.Menstrual period, uterine or cervical bleeding.
5.Iodine allergy.
6, fever.
7, Menopause has not been ruled out pregnancy.
Optimal time of surgery.
The patient is 3-7 days clean of menstruation and intercourse is forbidden 5 days before surgery.
Postoperative attention.
1. No tub bathing and sexual intercourse for two weeks after the imaging, antibiotics can be given as appropriate to prevent infection.
2.Sometimes the tubal spasm causes the illusion of tubal incompetence, so repeat the procedure if necessary.
3. A small amount of vaginal bleeding within one week after the imaging test is normal if there is no other discomfort.
4. It is best to use contraception for three months after imaging to reduce the possible effects of x-ray exposure. However, it is clinically observed that there is no increased risk of fetal abnormalities in women who become pregnant in the same month after imaging.
5, Chinese medicine regulation, pay more attention to the hygiene situation, to avoid inflammatory infections.