Patient's question:
I've been married for over a year, but haven't been able to get pregnant. I've had a medication-induced abortion once before. I've also had a hydrotubation done at the clinic, but the doctor said they just rely on their own judgment to determine the results. When injecting the fluid, if you feel pain, it means it's blocked; if you don't feel pain, it means it's unobstructed. But during the procedure, I did feel pain, just like the pain I feel when my period comes. Later, the doctor determined that it wasn't completely unobstructed. Is this correct? How is fallopian tube hydrotubation done? How is fallopian tube hydrotubation done?Doctor's answer:
Hello, tubal hydrotubation is a procedure where a catheter is used to inject fluid into the uterine cavity. Based on the resistance during injection, the presence or absence of fluid reflux, the amount of fluid injected, and the patient's sensation, it is determined whether the fallopian tubes are patent. Pay attention to the resistance during injection, the presence or absence of reflux, and the presence of leakage. If all the fluid can be injected without resistance or reflux, it indicates that the fallopian tubes are patent. If there is significant resistance, and the pressure is released while 10ml of fluid refluxes back into the syringe, it indicates that the fallopian tubes are not patent. If there is significant resistance during fluid injection with a small amount of reflux, it indicates that the fallopian tubes are partially patent. Do not force the injection if resistance is encountered.