Hysterosalpingography, reviews about the procedure

One of the reasons for infertility in a woman may be obstruction of the fallopian tubes or poor patency. To clarify their condition, a hysterosalpingography procedure is appointed, reviews and questions about which can be found on women's forums. How is it conducted? Does this hurt and how long does the procedure take? Let's figure it out.

The essence of the procedure

Hysterosalpingography is a contrast method of research, ie, a special substance is introduced into the uterine cavity, after which the degree of its passage through the uterine tubes under the control of the X-ray is estimated.

Normally, the tubes open into the abdominal cavity, where the ovaries are located. If the X-ray shows that the contrast material has got there, then the patency of the pipes is not broken. If the contrast medium breaks off at a certain site, then it can not go any further, like an ovule in the uterus.

Types of hysterosalpingography

There is a procedure conducted under the control of an X-ray, and also a contrast ultrasound of the fallopian tubes is performed. The latter has advantages. Since this type of study uses water as the injected substance, such undesirable consequences as an allergic reaction and an inflammatory process can be avoided. In addition, during the procedure with the help of ultrasound, a therapeutic effect is achieved, this is possible thanks to a pump that increases the pressure in the tubes and relieves their spasm. When X-ray study, this result is difficult to achieve.

When can I perform the procedure?

Hysterosalpingography, reviews about which can be different, are carried out in the first half of the menstrual cycle, it can be done the day after the end of menstruation. It is not necessary to carry out this procedure after ovulation, especially if the woman does not know how much the risk of pregnancy is. The inflow of fluid into the uterus can trigger fetal abnormalities or spontaneous abortion.

When planning hysterosalpingography for the period of ovulation, it is better to refrain from sexual intercourse or use protective equipment. If this could not be done, the procedure should be postponed to a later time.

Preparation for the procedure

Before conducting a contrast study, a swab should be given for a study of the vaginal flora. There is also a study for HIV, hepatitis and syphilis. Hysterosalpingography is associated with a risk of developing an ascending infection. Bacteria can enter the uterine cavity from the vagina.

The day before the procedure, do not overload the intestines, dinner should be easy. On the day of the procedure, it is undesirable.

If the X-ray of the fallopian tubes is carried out, then the bladder should be emptied, and if the ultrasound of the tubes, then, on the contrary, it is necessary to drink before the procedure to fill the bladder (as with a normal ultrasound of the uterus).

How is the procedure performed?

The vagina is treated to remove the flora, then a mirror is inserted and a catheter is inserted into the cervix. Through it, a contrast agent enters the uterine cavity, at which time several X-rays are taken.

Depending on the qualification of the doctor and the pain threshold of the woman, the procedure can be performed using anesthetics.

Basically, a woman is left in the clinic for 2 days, she needs to rest. Also, the doctor should make sure that there is no bleeding (they are rare) or allergies.

Hysterosalpingography, reviews

Not everyone is happy after the procedure. So, many people with horror remember about its carrying out. Sensations of a woman depend in many respects on who performs hysterosalpingography, reviews can be either positive or negative. If the procedure is performed by an experienced doctor, the patient remains satisfied, she does not experience pain, and discomfort can be observed from the introduction of mirrors and a catheter.

In addition, a small percentage of women face an exacerbation of the inflammatory process after the procedure.

There may also be a rise in temperature, an allergic reaction (rash, dyspnea, fainting) to a contrast agent (iodine) and spotting. With all these symptoms, which have already arisen at home, you need to see a doctor.