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Diagnosis of fallopian tube obstruction

Visualization of the clinical picture of the uterine cavity without the use of X-rays.

Safe and accurate check of the fallopian tubes using ultrasound.

Other names for the procedure are: sonohysterosalpingoscopy, sonohysterography, sonosalpingography, or salpingosonography.

The tubal factor of infertility

In the normal state of the female reproductive system, one egg ripens in the ovary every month. After leaving the ovarian follicle, it moves to the uterine cavity through the fallopian tube. After fertilization of the egg by the man's sperm, the formed embryo continues to move towards the uterus until it enters it and is fixed on its wall (implantation of the embryo). If the fallopian tubes are obstructed, the female and male sex cells will not meet, and fertilization will not occur.

20-30% share of tubal factor in the structure of female infertility

*Fallopian tubes or fallopian tubes

A paired organ of the female reproductive system that ensures the movement of the egg and embryo (after fertilization) into the uterine cavity.

 

Benefits of diagnosing fallopian tube obstruction

Why do fallopian tubes become obstructed?

  • abnormalities in the anatomical structure of the fallopian tubes or functional changes associated with age;
  • formation of adhesions in the pelvic organs;
  • surgeries on the female genital organs;
  • hydrosalpinx (accumulation of fluid in the fallopian tube cavity);
  • inflammation in the fallopian tubes or in the uterine cavity;
  • history of infectious diseases of the female reproductive system.
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Advantages of the procedure

  • high level of safety for the patient;
  • the procedure of ultrasound examination of the fallopian tubes for patency involves minimal intervention in the woman's body;
  • accuracy and informativeness of the method due to the "real-time" mode;
  • the fallopian tubes are checked using an expert-class ultrasound machine, which is absolutely safe for the body;
  • a special hypoallergenic contrast agent is used to determine the patency of the fallopian tubes;
  • the possibility of a comprehensive assessment of the condition of the uterus, fallopian tubes, cervix and vagina;
    checking the fallopian tubes is low cost (compared to diagnostic hysteroscopy).

Preparation and course of the procedure

  • general blood test;
  • testing for syphilis, HIV, hepatitis B and C;
  • a vaginal swab for microflora;
  • exclude sexual relations 2 days before the procedure;
  • Do not eat or drink 6 hours before the diagnosis.

The procedure is performed in the 1st phase of the menstrual cycle.

If the test results show the presence of pathogenic flora in the genitals, sonohysterosalpingography is not performed.

The procedure is usually performed under general anesthesia.

Compared to other similar tests for fallopian tube patency, the price and safety create a high demand for this procedure.

Features of the procedure

Sonohysterosalpingography is performed on an outpatient basis.

Duration of the procedure: 5-7 minutes

First, a gynecologist examines the vagina and cervix with a gynecological mirror and performs the necessary preliminary treatment. Then a contrast agent is injected into the uterine cavity through a catheter.

Using an ultrasound machine, a gynecologist examines the movement of contrast medium in the fallopian tubes and its distribution in the abdominal cavity. The specialist also observes changes in the size of the uterus: if it expands or stretches, he concludes that the tubes are obstructed.

Based on the results of the examination, the doctor determines the tactics of further treatment.

The duration of the sonohysterosalpingography procedure is 5-7 minutes

 

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Specialists of this service

Strelko
Galina Strelko
medical director, obstetrician-gynecologist of the highest category, Doctor of Medical Sciences
Work experience: more than 25 years
ulanova
Veranika Ulanova
Head of the medical and diagnostic department, obstetrician-gynecologist of the highest category
Work experience: more than 21 years
parpalej-1-1-min
Karolina Parpaley

obstetrician-gynecologist of the first category

Work experience: more than 16 years
макаренко
Liliia Makarenko

obstetrician-gynecologist of the highest category

Work experience: more than 14 years
пранова
Olga Pranova

obstetrician-gynecologist of the highest category

Work experience: more than 26 years
магера
Yulia Magera
obstetrician-gynecologist
Work experience: more than 6 years

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