What is hysterosalpingography (GAS) or X-ray of the uterus and fallopian tubes, only women who know more than a year can not conceive a child. The permeability of the uterine tubes in the image of the GHA can be changed for a number of reasons, and they are not always pathological in nature:
- anatomical narrowing of the uterine tube;
- reflex spasm of the tube in response to the ingress of X-ray contrast substance into it;
- Adhesive process as a consequence of sexual infections and postoperative operations.
This procedure has a high diagnostic value and makes it possible to determine the obstruction of the fallopian tubes . We will try to talk about preparing for the GHA fallopian tubes, as it is done and the possible consequences.
Preparation and analysis before the GHA of the fallopian tubes
Hysterosalpingography of the fallopian tubes, like any serious diagnostic manipulation, requires special preparation. Such a woman doctor will appoint general clinical studies of blood and urine, a blood test for biochemistry. PCR diagnosis of genital infections is mandatory for GHA and uterine tubes. During the presentation, the doctor should ask whether the patient has any allergic reactions that may occur in response to the introduction of contrast. The doctor is obliged to warn the woman that she should refrain from having sexual intercourse 2 days before the procedure. One week before hysterosalpingography, douching should not be performed and tampons should be used. If such a patient uses vaginal suppositories and tablets, it is worth discussing with the doctor whether to apply them before the procedure and if not, how much to cancel.
Procedure for testing the patency of the fallopian tubes with the help of the GHA
The GHA procedure is performed in the first two weeks after the termination of menstruation. In most of the medical institutions before hysterosalpingography only spasmolytics are introduced, and the patient is conscious. In modern advanced clinics, general anesthesia is used to anaesthetize this manipulation, as most women of the GHA of the uterus and of the fallopian tubes are sick during this diagnostic procedure.
During the hysterosalping procedure, after examination in the mirrors, the doctor enters through the cervix a thin plastic catheter that serves as a conductor for the radiopaque substance in the uterine cavity. After filling the uterus with contrast, it begins to flow into the fallopian tubes, and the catheter is removed. At this time, several X-ray images are sequentially carried out at regular intervals. A hysterosalpingographic (GHA) snapshot shows how much the uterus and fallopian tubes are filled with contrast. X-ray contrast fluid gradually enters the blood and is excreted from the body with urine.
The interpretation of the results and consequences of the GHA fallopian tubes
In addition to the adhesions in the fallopian tubes during hysterosalpingography, polyps, submucous fibroids, adhesions and synechia in the uterine cavity can be detected, as well as possible external adhesions that also disrupt the passage of the fallopian tube.
One possible complication during the GHA of the uterus and fallopian tubes can be a pronounced allergic reaction to the contrast agent,
Contraindications to hysterosalpingography are confirmed pregnancy and an allergy to a contrast agent.
Thus, having examined the features of diagnostic manipulation - hysterosalpingography, it should be said that this manipulation should be prescribed only by an experienced gynecologist in the absence of contraindications. It is very important to properly prepare a woman, which will avoid complications.