One common cause of infertility isobstruction of fallopian tubes. There are several ways to diagnose this condition. However, the most used of them is hysterosalpingography (GHA), the consequences of which are not very pleasant, but quite tolerable.
This study can be carried out in differentdays of the menstrual cycle as directed by the doctor. The night before you can not eat, on the day of research, eat and drink. Before the GHA it is necessary to make an enema, empty the bladder and shave off the pubic hair.
GHA, the consequences of which can be minimized,after passing the necessary examination before it, is usually performed without anesthesia, however, at the patient's request, mild anesthesia can be used. One week before the test, you need to pass urine and blood tests, make smears from the vagina and cervical canal, check for HIV, syphilis and hepatitis.
One of the most unpleasant, but possibleconsequences of the GHA, is an inflammatory process. Therefore, after the procedure you need to take good care of your health. The temperature, pain and spotting after GHA for more than three days - an occasion to turn to a gynecologist.
Do not conduct a study if availableinflammatory process in the genital tract or if it has been recently transferred. The aggravation of the general disease is a contraindication to the procedure (pyelonephritis, influenza, pneumonia).
Radiocontrast material can cause allergies. Therefore, it is necessary to find out the reaction to the drug used, as a rule, it contains iodine.
In the cycle in which the GHA is performed, the consequenceswhich can be and pleasant, it is necessary to be protected, even if for a long time the pregnancy has not come. This is due to the fact that after the study, the likelihood of its onset is significantly increased due to the washing effect.
Contrast substance introduced into the pipes,eliminates small spikes, which before that prevented the onset of conception. This is indeed an established fact, therefore many women associate with this procedure high hopes.
The GHA, the results of which have a largevalue for finding out the causes of infertility, is conducted in the radiology room on a special chair. After two-handed examination, a radiopaque substance is injected into the uterus and several pictures are taken.
This procedure is carried by patientsdifferently. Some note only unpleasant sensations, others complain of sharp soreness. This is most likely due to the threshold of sensitivity, which is individual for each person.
After GHA, slight bleeding is possible, so it is necessary to take a sanitary napkin with you. It usually goes through a couple of hours.
After the study, there are painful sensations,reminiscent of the onset of menstruation. Especially they are manifested in a sitting position. Also, a slight rise in temperature and a slight pink discharge are possible. These phenomena are the norm in the first few days.
As a result of the GHA, the patient gets her hands onpictures on which you can see if the fallopian tubes are passable, and if not, in which department. In addition, they can diagnose diseases such as endometriosis, tuberculosis of the reproductive system, various pathologies of the uterus (polyps), including congenital (bicornic, saddle).
It is important to remember that in 20% of cases the GHA gives a falsediagnosis of the obstruction of the tubes. This can happen if the woman is long and narrow. Then the contrast substance just does not have time to get into the abdominal cavity.
In addition, because of stress andthere is a spasm of the tubes. Therefore it is necessary to drink no-shpa before the test. To prevent the inflammatory process, a doctor can prescribe a course of candles, tampons or antibiotics.
Thus, the GHA, the consequences of which canbe both negative (inflammation) and positive (long-awaited pregnancy) is a very informative procedure. It allows you to check the patency of the fallopian tubes, to detect their pathology, as well as the uterus. To prevent negative consequences, it is necessary to follow the recommendations of the gynecologist.