How to do tubal irrigation

Patient's question:

Doctor, I was diagnosed with some issues with my fallopian tubes at the county hospital in my hometown. The local doctor recommended that I undergo a fallopian tube hydrotubation. I would like to know the specific procedure and whether it will be painful.

Doctor's answer:

Hysterosalpingography (HSG), also known as tubal irrigation, involves injecting methylene blue solution or physiological saline through the cervix into the uterine cavity, allowing it to flow into the fallopian tubes. Based on the resistance encountered during the injection and the return flow of the liquid, the patency of the fallopian tubes is assessed.
HSG determines the patency of the fallopian tubes based on the pressure of the injected liquid, relying solely on the doctor's experience and tactile sensation for blind irrigation. This method cannot clearly identify the location or nature of tubal lesions. The procedure is extremely painful for patients, and most women experience vaginal bleeding and abdominal pain afterward, with the symptoms lasting for an extended period.

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