Patient's question:
How to check if the fallopian tubes are unobstructed: is it better to do a contrast examination or a fluid test? I have a friend who has been married for more than a year and has not been able to conceive. She has had an abortion before, and the doctor told her to do a fallopian tube contrast examination to see if the tubes are blocked. How long after the contrast examination can she get pregnant? Which hospital is better to go to for the contrast examination? How much will it cost?Doctor's answer:
The patient is positioned in the lithotomy position for routine sterilization of the external genitalia and vaginal prep. An ultrasound examination is performed to check the position and size of the uterus. Using a vaginal speculum, the vagina is fully exposed, and the cervix and vaginal fornix are sterilized again. The cervix is clamped with a cervical tenaculum, and the uterine cavity is explored.Recommended methods for hysterosalpingography (HSG) with X-ray include the following two:
1. Metal hysterosalpingography: Before injecting the contrast medium, ensure the contrast medium is fully filled in the catheter and completely drained. Then, insert the catheter into the uterus and tightly seal the cervix to prevent the contrast medium from leaking outside. Under X-ray scanning, carefully observe the flow of the contrast medium through the uterine cavity and fallopian tubes, and take photographs.
2. It is highly recommended to consult a formal and large hospital for guidance before undergoing the examination and treatment.