Some women can't get pregnant for a long time. There are many reasons for this problem. One of them will be the obstruction of the fallopian tubes. Reviews, as they check, preparation for this procedure will be described in our article. To identify this pathology, the specialist must prescribe special studies to the patient. Let's take a closer look at these diagnostic procedures, as well as their possible consequences.
General description of hysterosalpingography
The procedure, which checks the patency of the fallopian tubes, in the field of medicine is called hysterosalpingography. This diagnostic measure is carried out in order to check the condition of the uterus, as well as its tubes. In addition, inthe time of hysterosalpingography is an assessment of patency. The indication for such a diagnostic measure is in cases where women cannot conceive a baby for a very long time, or they have already had several miscarriages in the past.
How is tubal patency checked?
Reviews from experts suggest that this procedure can be carried out using three methods. The main one is to conduct hysterosalpingography, which was discussed above. This procedure is a special x-ray that shines through the fallopian tubes. Initially, a rubber tip is inserted into the cervix, and a thin tube called a cannula passes through it. Through it, a special coloring matter enters, in most cases - blue. After that, with the help of an X-ray machine, a picture is taken, which is displayed on the monitor. On it, a specialist can see the structure of the uterine cavity, the fallopian tubes that extend from it.
So, we continue to consider how the patency of the fallopian tubes is checked, reviews on the diagnostic measure. As mentioned earlier, diagnosis can be carried out in three ways. We have considered only one. What will be other methods of checking the condition of the fallopian tubes? These should include:
- Sonohysterosalpingography. In the field of medicine, this procedure is also called echography, cosgraphy, echohysterosalpingography, hydrosonography. Talking abouthow the patency of the fallopian tubes is checked, reviews show that this particular procedure is less painful when compared with hysterosalpingography, which we talked about above. This diagnostic measure is the introduction through the catheter into the cervix of a special saline solution, the temperature of which is equal to room temperature. After that, the passage of fluid is studied using an ultrasound machine.
- Another diagnostic measure through which patency can be assessed is laparoscopy. What do the reviews say about this procedure? How is the patency of the fallopian tubes checked by laparoscopy? Both patients and specialists say that this method is the most traumatic. Often it is combined with the removal of adhesions, which is why laparoscopy is not prescribed only to assess the patency of the fallopian tubes. This procedure is a puncture of the abdominal wall, where a surgical instrument is inserted, allowing a detailed examination of the patient's internal organs.
You should also pay attention to the fact that blowing can be prescribed to check the patency of the fallopian tubes. It is used only if the patient has an allergic reaction to some kind of contrast agent. This procedure involves injecting air directly into the uterus using a special manometer, as well as a rubber tube.
What is echohysterosalpingography?
Let's take a closer look at the diagnostic measure thatcalled echohysterosalpingography. The assessment of organs using such an ultrasound examination is carried out on a monitor, and not on a picture, as is the case with hysterosalpingography. The main advantage of this technique is the absence of radiation exposure. In addition, echography is also performed without hospitalization of the woman.
It is recommended to carry out this diagnostic event on the eve of ovulation. The undoubted advantage of this period is that during ovulation, the cervix is as relaxed as possible. As for the preparation for the diagnosis, the woman should stop eating 2 hours before visiting the doctor. In case of increased gas formation, the specialist can prescribe the patient "Espumizan", which must be drunk for 2 days before the diagnosis.
In addition, to conduct an echohysterosalpingography, a woman must also pass some tests: blood for HIV, hepatitis, syphilis, as well as the vaginal microflora. These tests are necessary in order to exclude the presence of viruses in the female body. During the diagnostic measure, a special contrast agent is introduced, which must pass freely through the fallopian tubes, and then penetrate into the abdominal cavity.
Feedback on the procedure
Does it hurt to check the patency of the fallopian tubes? Patients' testimonials suggest that after echohysterosalpingography, there is a slight soreness that disappears throughout the day. Therefore, many choosethis particular diagnostic measure to check the condition of the patency of the fallopian tubes.
X-ray
So, we continue to consider whether it hurts to check the patency of the fallopian tubes, patient reviews, as well as diagnostic methods. X-ray, or hysterosalpingography, is used only to examine the fallopian tubes in non-pregnant patients, since any radiation is very harmful to the embryo. In such situations, the previous method is used, that is, echohysterosalpingography. However, attention should be paid to the fact that X-ray will be the most informative research method, it is able to assess the state of the organs in the entire abdominal cavity. This procedure also has some disadvantages. These should include:
- The body receives radiation, albeit in small amounts.
- A woman may have an allergic reaction to the contrast agent.
- During the procedure, mechanical damage to the skin with a small amount of bleeding may occur.
Does it hurt to check the patency of the fallopian tubes in this way? As a rule, patients do not experience pain if their epithelium has not been damaged. However, this rarely happens.
Cost of hysterosalpingography
Of course, many women wonder if it hurts to check the patency of the fallopian tubes. They will also be interested in the cost of such a diagnostic procedure. If to speakspecifically about hysterosalpingography, the price will depend on the specific method. In public clinics, any such procedures will be absolutely free. In a private institution, the cost for an x-ray ranges from 1,500 to 5,000 rubles. As for echohysterosalpingography, the cost of such a procedure ranges from 5,000 to 8,000 rubles. However, this will also depend on other additional services, such as gynecological consultations, examinations under anesthesia, the presence of the husband at the event.
How to check the patency of the fallopian tubes, reviews
Whether it is painful to check the condition of the fallopian tubes will depend on the chosen diagnostic procedure. However, in any case, before conducting the study, the specialist must examine the patient, and then prescribe the delivery of some tests. In addition, the doctor selects the time when a woman should come to a particular diagnostic event. To avoid inaccurate results, the doctor must be sure that during the examination the patient's uterus will be in a relaxed state in order to reduce the risk of spasms. Preparation, testing - patient reviews say that there is nothing complicated in this. It is only necessary to make an appointment with a gynecologist in advance.
Required tests
So, we figured out whether it hurts to check the patency of the fallopian tubes or not. However, some of the fair sex are afraid to take tests before the main procedure. In particular, the specialist takes blood for a biochemical study. At the same time, a woman must alsopass urine. It is mandatory to test for HIV, syphilis, and hepatitis. A smear from the vagina should be taken, with the help of which the microflora is examined. Before an x-ray of the fallopian tubes, a pregnancy test is mandatory or a blood test is taken to detect hCG. This study is the main difference between the process of preparing for hysterosalpingography and echohysterosalpingography. The latter can be used for pregnant women.
Preparing for diagnostics
As mentioned earlier, a diagnostic study requires a special behavior from the patient for several days before the appointed date. It should be carried out on the 5-9th day of the menstrual cycle. The preparatory activities for hysterosalpingography will include the following steps:
- A couple of days before the diagnostic procedure, a woman should give up sexual intimacy.
- During the week before visiting a specialist, it is also not recommended to douche, use special personal hygiene products, that is, tampons.
- Seven days before the diagnostic event, it is necessary to stop using vaginal suppositories, tablets, sprays, if there is no agreement on their use with the doctor.
- Before the hysterosalpingography, it is imperative to empty your bladder, as well as your intestines. If a woman does not go to the toilet, she should give a cleansing enema before the diagnosis.
Possible consequences
So, we have examined how ultrasound checks the patency of the fallopian tubes with the help of ultrasound, how to prepare for this event. Without fail, the fair sex must comply with the above rules. More accurate information on which day the patency of the fallopian tubes is checked, how to behave before this event, what tests to take, will be answered by your attending physician. Therefore, consult a gynecologist in advance. In addition, the specialist must report on the possible consequences of the diagnostic event.
Even the safety of hysterosalpingography will not guarantee the absence of negative consequences. First of all, this should include an allergic reaction to the contrast composition, which is used in the study. This phenomenon will be characteristic of those women who have previously had similar responses during other examinations. Allergic manifestations can also be observed in those women who suffer from bronchial asthma.
Before you check the patency of the fallopian tubes, you can ask your doctor about the possible consequences. It is possible that bleeding, infection or uterine perforation may occur.
And what about X-rays? How often to check the patency of the fallopian tubes so that these radiations do not harm the body? It should be noted that X-ray does not pose any threat to the he alth of a woman, since itthe amount is so small that it does not cause tissue damage.
Speaking of whether it hurts to check the patency of the fallopian tubes, it should be noted that pain occurs, but they disappear on their own after a few days. The main condition is that you should limit yourself from using tampons, visiting the sauna, and douching. If the blood has not passed for a couple of days and an unpleasant odor has appeared, then you should consult your doctor.
Pregnancy after diagnosis
So, we have considered how best to check the patency of the fallopian tubes. It should be noted that after such an event, women have an increased chance of becoming pregnant. At present, there is no scientific exact rationale for why this occurs after hysterosalpingography. Statistics show that this procedure actually increases the percentage of patients' ability to conceive a child. Quite often this is observed in the case when the analysis for the patency of the fallopian tubes is carried out using contrast oil substances. For this reason, a slight delay in menstruation after the study can speak not only of the woman's stress, but also of a possible pregnancy, which will need to be verified.
Conclusion
Now you know how to check the patency of the fallopian tubes during laparoscopy, hysterosalpingography, echohysterosalpingography, and other diagnostic measures. Specific methodThe attending physician will prescribe a diagnosis for you after a series of tests and studies. Be sure to follow the rules for preparing for the diagnostic procedure. The doctor also needs to make sure that you are not pregnant. Otherwise, if an x-ray is used for the study, it may harm the fetus.
Is it possible to check the patency of the fallopian tubes? Thanks to modern technology, yes. Based on all of the above, we can conclude that the verification procedure can be a little painless. However, the discomfort, according to patients, disappear after a couple of days or hours. Do not be afraid of this diagnostic method, since a woman's he alth is more important than her fears.
