Hysterosalpingography is an informative research method used in gynecology to confirm or refute the following disorders:
- obstruction of the fallopian tubes ;
- malformations of internal organs;
- the appearance of tumors of a different nature (this may be submucosal fibroids, endometrial cancer, polyps and adhesions in the uterus and fallopian tubes).
In most cases, the procedure is prescribed to women who for a long time can not conceive or endure a child.
In modern medical practice, there are two ways of conducting hysterosalpingography: using X-rays and ultrasound. The ultrasonic method is considered safer and painless, due to the absence of harmful x-ray effects and the risk of an allergic reaction.
The principle of preparation for both methods is approximately the same, except for some points.
How to prepare for the GHA?
Preparation for the GHA of the fallopian tubes consists of several stages.
- First of all, the doctor examines the mirrors, takes a bacteriological smear from the vagina to exclude sexual infection and the presence of an inflammatory process, which are the main contraindications for the GHA.
- Be sure to pass a general analysis of urine and blood for other infections.
- When preparing for the GHA of the uterus and fallopian tubes, you should surely be convinced of the absence of pregnancy, it is best to be protected during the menstrual cycle when a study is planned.
- For 5-7 days before hysterosalpingography it is recommended to stop using vaginal suppositories, douching, for 2 days - sexual contacts.
- In individuals prone to allergic reactions, the doctor conducts allergens. As a rule, allergic tests are necessary if a standard method is used with the help of an X-ray with the introduction of a contrast medium, to which a reaction may occur.
- Immediately before the procedure, a cleansing enema is made and the bladder is emptied. Again, this measure is necessary for classical hysteroscopy. When preparing for the GCH ECHO, on the contrary, one should drink up to 500 ml of liquid.
It should be prepared in advance for the fact that the GHA can be a rather painful procedure, and it is worth discussing with a specialist how to, if possible, anesthetize the process. The optimal time for the diagnosis is 5-11 days of the menstrual cycle, however, not earlier than one day after the end of the menstrual cycle.