A large proportion of women cannot conceive children because of fallopian tube problems. About 40% of infertility is related to structural and functional abnormalities of fallopian tubes.
Therefore, tubal examination is an important content in the diagnosis and treatment of infertility.
What methods are there to check whether fallopian tubes are unobstructed? Next, I will introduce you one by one.
Tubal Water Examination: Not Recommended
Although the tubal water examination process is simple and cheap, the accuracy is definitely discounted because the diagnosis mainly depends on the subjective feeling of the operating doctor, and whether the tubal is unobstructed can only be judged according to the liquid backflow and resistance.
For patients who have been infertile for many years and have a history of surgery, especially endometriosis, it is not recommended to diagnose the patency of fallopian tubes by tubal fluidization, and it is only considered when there is no better examination method.
In particular, we should remind everyone that when it is already known that the fallopian tubes are not smooth, do not repeatedly pass through water. Such treatment methods have no good curative effect.
Hysterosalpingography: most commonly used
This is the most commonly used examination, which many people have heard of or done. During the examination, contrast agent is injected into the uterine cavity before X-ray is taken to understand the condition of the uterus and fallopian tubes.
Hysterosalpingography is simple and rapid to operate, with high diagnostic accuracy and little side effect, and has little influence on the patient’s body. As long as it is not a special case such as contrast agent allergy, it can be generally done and is widely used.
The X-ray film taken during the examination is easy to preserve and is a kind of universal picture data, which can be used as the basis no matter which hospital to go to for examination and treatment. It is suggested that patients’ friends properly keep the film or take photos by themselves, and keep it on mobile phones or other electronic equipment, so that they can conveniently show it to doctors for examination in the future.
Laparoscopic Tubal Staining Fluid: Gold Standard
This examination is also called [laparoscopic methylene blue fluidization], which can dynamically observe the patency degree of fallopian tubes, and at the same time can comprehensively and accurately understand the situation of various organs in pelvic cavity. It is recognized as the [gold standard] for checking the patency of fallopian tubes.
Through laparoscopy can also find early endometriosis, pelvic tuberculosis and other diseases, for some unknown causes of infertility patients to find the cause. And for patients with tubal adhesion, hydronephrosis, can be under direct vision of the corresponding surgical treatment. Therefore, laparoscopy can not only diagnose, but also treat.
However, laparoscopy is an invasive examination. Although the trauma is very small, it is still not recommended that everyone should do it just to understand the patency of fallopian tubes, but should make a choice on the premise of meeting the conditions and the needs of the disease.