Patient's question:
After tubal irrigation surgery, will it be very easy to get ectopic pregnancy?Doctor's answer:
Traditional hysterosalpingography (HSG) has long been phased out by the World Health Organization due to its high rate of false negatives and inability to accurately determine the specific site of pathology. The reasons for its continued use may stem from traditional beliefs or the lack of contrast equipment at some hospitals. Frequent irrigation can potentially lead to infections and tubal hydrops. Simple irrigation cannot accurately assess the condition of the fallopian tubes and may produce false positives, such as tubal ( hydrops) or tubal leakage, which cannot be diagnosed. As a result, simple irrigation has been abolished by the World Health Organization.The current best diagnostic method for assessing fallopian tube conditions is digital dynamic tubal iodine contrast angiography. This technique not only holds diagnostic significance for infertility but also offers certain therapeutic benefits. It involves continuously injecting contrast medium through a latex double-lumen catheter into the uterus, dynamically observing the images of the uterus, fallopian tubes, and pelvic cavity. The patient can immediately see their uterine and tubal conditions, with video and electronic image records preserved.
This contrast examination has a diagnostic accuracy rate of over 90%, and among those who conceive solely after tubal obstruction is diagnosed via contrast, 27% achieve pregnancy.