Which is better, salpingography or hysterosalpingography?

Male reproductive organ diseases need to be diagnosed and treated through various gynecological examinations, especially fallopian tube blockage, which can easily lead to ectopic pregnancy or infertility problems, causing great harm to female reproductive health. Angiography and hydrotubation examination are both common gynecological examination methods for checking fallopian tube obstruction. So, which one is better for angiography or fallopian tube hydrotubation?

Which is the best hospital for angiography and fallopian tube hydrotubation?

The methods for checking fallopian tube obstruction include hydrotubation, angiography, bilateral fallopian tube endoscopy, laparoscopy, etc. So, which one is better, angiography or fallopian tube hydrotubation? It is recommended to follow the doctor's advice on which method to use. The following editor will introduce the differences between them to everyone in detail.

The test of fallopian tube hydrotubation has the advantages of simple equipment, easy operation, high quality and low price. However, since the whole process relies on the doctor's subjective feeling and cannot determine the location of fallopian tube blockage, it is currently only used as a preliminary screening method to diagnose fallopian tube obstruction infertility. In addition, it will also cause some "illusions", such as the stimulation of the examination, the pain of the patient, which causes the spasmodic contraction of the uterus, and the compression of the openings of the fallopian tubes in the uterine cavity, which will cause the illusion of "blockage", and the fluid used for perfusion will enter the blood circulation system, which will cause the illusion of "unobstructed". The gold standard for truly distinguishing the function of bilateral fallopian tubes should be laparoscopy.

Angiography is a rapid, economical and low-risk test. Contrast examination has little damage. Under the operation of an experienced doctor and with the use of a digital X-ray machine, it can make an accurate diagnosis of fallopian tube obstruction with an accuracy of 98%. It also has certain therapeutic effects and is the most common examination method used to determine whether both fallopian tubes are unobstructed, the degree of obstruction, and the actual location of the blockage. In many aspects, it is irreplaceable by ultrasound, CT, MRI, hysteroscopy, laparoscopic surgery, bilateral fallopian tube endoscopy, etc. The sensitivity of angiography for tubal occlusion and adhesions is 65%, but bilateral tubal spasm caused by pain can lead to positive results.

In addition, pain is a common complication of angiography, but pain can be relieved by intramuscular injection of anesthetics before the procedure. Many people experience lower abdominal pain, which is even unbearable, and is accompanied by nausea, vomiting, fatigue, and in severe cases, fainting or shock. The radiographic examination tube is deep in the uterine cavity, stimulating the uterus and the fallopian tubes on both sides to cause muscle spasm; the fallopian tubes are blocked or unobstructed; the patient has a low tolerance to pain and can all cause pain.