Patient's question:
I have been taking medication for 2 months to treat appendicitis, including prednisone, Sanjie Tang pain-relieving capsules, and human placental fluid (once every two days). The doctor instructed me that after completing the medication for the third month, I should have a hydrotubation 2 to 5 days after my next menstrual period.I would like to ask, how can I determine if my fallopian tubes are blocked? Or perhaps they are still open? Do I have to do it? The doctor is concerned that if they are blocked, it could lead to an ectopic pregnancy. But I am a bit scared. What are the potential adverse effects if I undergo the procedure?
Doctor's answer:
Hysterosalpingography (HSG), also known as tubal irrigation, is one of the rough methods for assessing the patency of the fallopian tubes. Some people use tubal irrigation to clear blocked fallopian tubes, but this is only effective for mild adhesions, and the results are not guaranteed. If the adhesions are mild, they are usually flushed open during tubal (HSG). If the HSG does not open, the possibility of clearing the fallopian tubes with irrigation is unlikely. Especially when one side is open while the other is not, during irrigation, the fluid flows to the side with lower pressure, reaching the open side, with little effect on the blocked side.Clinically, many patients are unfamiliar with tubal irrigation and undergo (blind irrigation) or repeated irrigation, which is harmful rather than beneficial to the fallopian tubes. First, repeated irrigation may affect the fallopian tubes' own motility and the beating ability of their cilia. Second, each irrigation increases the risk of infection, especially when sterilization is not strict. Many cases where the fallopian tubes were not severely blocked may worsen after irrigation.