Precautions for fallopian tube angiography

For female friends, gynecological diseases are unavoidable. Tubal angiography is a detection method used to check whether the fallopian tubes of women are unobstructed. However, in recent years, many female friends have suffered from infertility, which is a fatal blow to women. Fallopian tube angiography can also be used to examine infertility. Let me introduce it to you below. I hope this can help everyone.

Tubal angiography is a test method used to check whether a woman's fallopian tubes are open. Fallopian tube angiography is one of the most widely used methods in clinical practice. X-ray hysterosalpingography is a method of examining whether the fallopian tubes are unobstructed, the site of obstruction, and the morphology of the uterine cavity by injecting contrast agents into the uterine cavity and fallopian tubes through a catheter and performing X-ray fluoroscopy and radiography using an X-ray diagnostic apparatus. The contrast agents' appearance in the fallopian tubes and pelvic cavity is used to determine whether the fallopian tubes are unobstructed, the site of obstruction, and the morphology of the uterine cavity.

Precautions for fallopian tube angiography

1. Selection of imaging time

1. The best time for surgery is 3 to 7 days after the patient's menstruation is over, and sexual intercourse is prohibited 5 days before surgery.

2. Atropine 0.5 mg can be injected within half an hour before the operation to reduce fallopian tube spasm.

3. The patient empty his bladder.

4. Ask whether there is a history of iodine allergy. An iodine allergy test is performed half an hour before imaging. Generally, a skin scratch test is performed by applying 2.5% iodine tincture to the flexor surface of the forearm with a diameter of about 2 to 3 cm. A scratch is made on it and the redness or swelling is observed after 20 minutes. Conjunctival testing or venous testing may also be done. Conjunctival test (conjunctival instillation method): Instill contrast agent into the conjunctiva of one eye. After 15 minutes, observe whether the conjunctiva is congested, red and swollen, and compare it with the side without drug instillation. If so, it is positive. Intravenous test (intravenous injection method): 1 ml of 30% contrast agent of the same batch is injected intravenously. If there is no reaction after 15 minutes, it is negative. If urticaria, sneezing, chest tightness, metallic taste in the mouth, laryngeal edema, etc. occur, it is positive.

5. Patients with constipation can take laxatives orally before surgery to keep the uterus in a normal position and avoid the false impression of external pressure.

2. Postoperative precautions

1. Do not take a bath or have sexual intercourse for two weeks after angiography. Antibiotics may be given as appropriate to prevent infection.

2. Sometimes tubal spasm may cause the illusion of tubal obstruction. Repeat if necessary.

3. A small amount of vaginal bleeding within one week after the angiography is normal if there is no other discomfort. If the amount of bleeding is more than the menstrual volume or if there are other discomforts, you should contact your doctor.

4. It is best to practice contraception for three months after the contrast examination to reduce the possible effects of X-ray exposure. However, clinical observations have found that women who become pregnant in the same month after angiography do not have an increased risk of fetal abnormalities.

5. Take Chinese medicine for conditioning, pay more attention to hygiene and avoid inflammation and infection.

The above is an introduction to contrast examination of the fallopian tubes. For those female friends who are infertile, they should get checked in time. If there is a problem, you must seek treatment in time so that you can have a baby. The editor reminds everyone that female friends should pay attention to problems related to fallopian tubes.