- Hysterosalpingography - effective examination of the uterus
- results
Results hysterosalpingography
Normal results: uterus and fallopian tubes are normal form. Damage and scar tissue. Contrast medium smoothly enters the fallopian tube of the womb, and then gets into the abdominal cavity. In the uterus, there are no tumors or foreign objects (such as intrauterine devices).
Abnormal results: intrafallopian deformed locked therein formed scar tissue, causing the contrast agent can not normally move them. Among the possible causes obstruction of the fallopian tubes - inflammatory diseases of the pelvic organs and endometriosis.
- The contrast agent flows through the wall of the uterus, indicating that damage to the wall.
- The uterus has an intrauterine septum - the abnormal structure of the uterus.
- The uterus has growths, such as polyps or fibroids.
Evaluation of the results of hysterosalpingography
In the analysis of X-ray should be noted that in normal uterine cavity has the shape of an isosceles triangle, which may vary depending on the phase of the menstrual cycle. Fallopian tubes are of fine winding strips.
In inflammatory changes in the fallopian tubes are usually observed expansion of the fallopian tubes, especially at the point of exit from the uterus.
In tuberculosis genitals at the beginning of the disease are detected thickened mucosal folds of the fallopian tubes. Their lumen can be defined filling defects and calcifications (deposits of salts), irregular contours of the fallopian tubes. In the later stages of the narrowed lumen of the fallopian tubes, they become partially or completely impassable.
In endometriosis fallopian tubes in the picture in the pipes can be seen in the form of multiple strokes strokes or dots.
If ectopic pregnancy is determined by a limited one-way expansion of one of the departments of the fallopian tube. Sometimes the outlines of the ovum.
When adhesions in the abdominal cavity can be defined by the contrast agent accumulation of various size and shape in encysted (separated by connective septa) cavities.
Despite the emergence of various other studies, hysterosalpingography has not lost its diagnostic value and today, continuing to be the leading method in the study of internal genitals.
What can affect the results of hysterosalpingography
If, during the procedure, there was a spasm of the fallopian tubes, the doctor may come to the conclusion that the patient has impaired their continuity, although in fact it is not.
In some cases, physicians for various reasons can not enter the catheter into the uterus - then, of course, the procedure does not give valuable results.
Hysterosalpingography can not be performed during menstruation, pregnancy, and the presence of pelvic infection.
Risks
Exposure to ionizing radiation is always associated with a certain risk of damage to cells and tissues. It concerns that radiation dose, the effects of which the person is exposed during hysterosalpingography. However, the likelihood of serious injury is negligible; advantage of this test is much more powerful.
Hysterosalpingography is associated with low risk (less than 1% chance) of pelvic infection, endometritis or salpingitis. When an infection is suspected, the doctor may prescribe antibiotics.
There is a slight chance of damage to the fallopian tubes or the uterus during the procedure.
Some patients iodinated contrast may cause allergic reactions.
In very rare cases, when for hysterosalpingography contrast agents used oil-based oil can get into the blood. This may result in pulmonary embolism
Pulmonary embolism - a dangerous violation
. However, in most cases, used for hysterosalpingography contrast agents, water-based.
Additional Information
In some cases, to detect a foreign object in the uterus, instead hysterosalpingography can conduct ultrasound.
To determine the causes of infertility is usually performed on a blood luteinizing hormone, progesterone
Progesterone - norm and pathology
, Follicle stimulating hormone. In addition, it must be examined by the woman's partner. Hysterosalpingography is assigned only if all conditions have been met.
Some studies suggest that hysterosalpingography may increase the chance of pregnancy as during the procedure removes accumulation of mucus that prevent the passage of sperm, straighten the fallopian tubes, and the scar tissue is destroyed (if it was not too much).
To inspect the uterus instead of hysterosalpingography can spend hysteroscopy
Hysteroscopy - examination of the uterus inside
. To assess the condition of the fallopian tubes, may be used laparoscopy.
Sonogisterografiya can also be used to inspect the uterus instead of hysterosalpingography. With it easier to detect polyps and fibroids, even small. During sonogisterografii introduced into the uterus of a saline solution, and then its movement is monitored by ultrasound.
If it is determined that the cause of infertility is blocked tubes
Obstruction of the fallopian tubes - asymptomatic
To remove the obstruction can be used contrast agent for oil-based. Some studies have shown that these contrast agents eliminate obstruction of the best water-based counterparts, but in a series of other studies to identify the difference between the two types of contrast agents failed.
Article Tags:
- gynecological examination
