US patency of the fallopian tubes. Indication for the study

One of the necessary conditions for the onset of pregnancy is the normal patency of the fallopian (or uterine) tubes in a woman. After all, it is through these channels that a fertilized egg penetrates into the uterus. If the patency is broken, the woman is diagnosed with infertility. In the case of partial obstruction, a life-threatening condition may arise-an ectopic pregnancy. To protect a woman from such problems and assess her chances of conceiving a child, the doctor prescribes ultrasound patency of the fallopian tubes.

Brief description of the survey

To assess the patency of the fallopian tubes, the patient is assigned ultrasound patency of the fallopian tubes, or, in the language of physicians, hysterosalpingoscopy (GHA). This is a special diagnostic study, which with the help of injected contrast material allows you to explore the female sexual sphere.

Unfortunately, conventional ultrasound can not fully provide information on the patency of pipes. That's why doctors resort to a special technique that detects unpleasant pathologies.

The ultrasound (GAS) of the fallopian tubes can be performed in two ways:

• Transvaginal (introduction to the vagina);
• When using an external sensor.

This method of examination is completely safe and very effective.

Indications for research

Any anxious signs, incomprehensible pains in the lower abdomen, the appearance of abnormalities in the cycle are serious reasons to go to a gynecologist for advice. If necessary, the doctor will appoint a woman ultrasound tubes for patency. However, this direction the doctor gives only after a gynecological examination.

Ultrasound (GAS) of the fallopian tubes is recommended for women who have the following pathologies:

• Broken menstrual cycle (irregular or no monthly);
• infertility;
• Transmitted infections that are sexually transmitted;
• Constant pain in the abdomen;
• Inflammation of the appendages.

In such conditions, the examination can be administered after the treatment. This allows you to determine the effectiveness of prescribed therapy and assess the condition of a woman. US patency of the fallopian tubes can be carried out repeatedly. After all, such research is painless and does not harm women's health.

Dates

To get the most reliable clinical picture, you need to find the right days. This is very important when an ultrasound is performed. Gynecology (which days are considered the most suitable, we will discuss later) is a special branch of medicine that requires the responsibility of the doctor, because the health of not only the woman but also her future offspring depends on his actions.

Doctors recommend conducting a study taking into account such terms:

1. The period from the 6th day of the cycle to the 21st.
2. Some gynecologists are advised to perform ultrasound before ovulation, from the 7th to the 12th day of the cycle.

Why are these terms considered to be the most optimal ones? Doctors say that during these periods, the cervix is maximally expanded. Endometrium after monthly differs minimal thickness. These features make it possible to conduct the research as precisely as possible.

Preparation for research

Ultrasound of the fallopian tubes for patency is an excellent chance to identify pathology at an early stage, start adequate therapy in time and completely get rid of the disease.

However, in order to correctly diagnose a woman's condition, it is necessary not only to find the appropriate time for the procedure. It is equally important to properly prepare for the study. The gynecologist will tell about all necessary measures.

The preparatory phase for the survey usually includes such activities:

1. Putting the smear on the microflora of the vagina. Such an analysis is valid for 21-45 days. Be sure to check with your doctor the exact duration of the smear.
2. Blood test for such indicators: F-50 (for HIV), RW (for syphilis), hepatitis B, C. The results of these studies are considered valid for 6 months.
3. Compliance with a special diet for 3 days before the examination. During the event, it is necessary to exclude the presence of gases in the intestine. That is why it is important to adhere to the diet for 3 days, aimed at reducing fermentation in the digestive tract. Give up flour, sweet, sour-milk. Do not eat vegetables, fruits, carbonated drinks, beans.
4. Ensuring the purity of the vagina. One week before ultrasound is recommended to abandon the use of vaginal sprays, suppositories, tablets. Eliminate syringing.
5. Reception of antispasmodics. For 20 minutes before the procedure begins, the patient will be recommended to use spasmolytic medicine (Spazmalgon, No-Shpa). Such medication will provide relaxation of smooth muscles and prevent reflex contractions of the uterus. Sometimes such drugs are administered to a woman before the injection procedure.

Conducting a survey

The procedure consists of several stages:

1. Diagnosis of fallopian tubes begins with a preliminary ultrasound monitoring of the pelvic organs. Such a study is conducted to exclude a woman's pregnancy and the presence of inflammation.
2. The patient is conveniently arranged in a gynecological chair. A disposable catheter is inserted intravaginally into the cervix. Through it enters the body cavity contrast agent, pre-heated to a comfortable temperature (37 degrees). The solution fills the uterus and rises through the fallopian tubes. Then the contrast material moves into the abdominal cavity.
3. It is at the third stage of the analysis of the patency of pipes. Free fluid localized in the small pelvis, indicates a satisfactory patency. Much worse if the substance does not penetrate the peritoneum. The fluid that has not left the pipe limits clearly indicates the obstruction of the canals. This study also allows you to determine the speed of the contrast agent through the ducts.

Ultrasound with contrast agent makes it possible to assess the status of the uterus and its structure:

• Shape and outline of the organ;
• Presence of polyps and myomatous formations;
• Relief and thickness of the endometrium;
• The development of the organ and pathology in its structure.

The average duration of the study is 25-30 minutes.

Results of the survey

During the procedure, a special sensor detects the presence of fluid in the peritoneum. The doctor begins the examination from the uterus. Then determines the condition of the fallopian tubes. Then, if necessary, complete the examination by studying the ovaries.

US patency of the fallopian tubes reveals:

• Congenital anomalies;
• Myomas, polyps, endometriosis, fibromas;
• Adhesive processes (thus clearly determines the localization of pathology);
• Contours of pipes;
• Location of the uterine canals.

Contraindications to the study

Ultrasound for the patency of the fallopian tubes is a fairly simple procedure. It does not imply invasive intervention and does not require complicated preparation for the conduct. But even such a simple examination has a number of contraindications.

It is strictly forbidden to conduct ultrasound:

• With uterine bleeding;
• Gynecological diseases occurring in acute or chronic form;
• Violations of the microflora of the vagina;
• Inflammatory ailments of the pelvic organs;
• Pregnancy;
• Tumors (benign, malignant), localized in the small pelvis;
• Infectious pathologies during an exacerbation.

Analysis for patency of the fallopian tubes: the price of the study

How much does this examination cost women? Of course, depending on the chosen clinic, the cost of ultrasound for patency of the fallopian tubes will vary. The procedure costs an average of 5395 rubles.

Research Benefits

GHA has a number of advantages in comparison with other diagnostic methods for the patency of fallopian tubes.

The main advantages of ultrasound are:

1. The procedure does not require hospitalization.
2. The introduced liquid disconnects the cleaved areas, rinses the derivative.
3. During the study, many pathologies of the uterus are detected in passing.
4. The egg is promoted.
5. The patient does not need anesthesia.
6. The research is carried out quite quickly, and the results are immediately visible.
7. There is no need for perforation of the peritoneum.

Having noticed the first alarming symptomatology, do not postpone visit to the gynecologist. Be sure to ask for help from competent specialists who will recommend, if necessary, an effective and safe ultrasound.