Does tubal contrast hurt? What is tubal contrast?

Patient's question:

I am undergoing a hysterosalpingogram. I had a test injection and a tube inserted. After the insertion, it took nearly 10 minutes before I started feeling my stomach getting increasingly painful and sweating profusely from my forehead. Afterward, I passed fresh blood, and the next day, I passed white discharge mixed with dead blood, which was not powdery. Today, I also have dead blood. Is this a normal phenomenon? What is a hysterosalpingogram? Is it painful, and what is the reason for the pain?

Doctor's answer:

Hello: Generally speaking, tubal contrast angiography can cause some pain to the body, but the degree of pain varies depending on the patient's condition. Some patients experience no pain at all. Tubal contrast angiography does not cause significant pain, which may be influenced by the obstruction of the contrast agent, pain perception, tubal spasm, excessive pressure during injection, or tubal blockage. Experts also point out that patients should not be nervous during tubal contrast angiography to avoid spasm, which could increase the pain of the procedure.

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