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Not All Infertility Requires a Salpingography
Most of the infertility patients could have experienced hysterosalpingography. A small percentage of them have even received 2-3 angiographic examinations, and multiple examinations have not only injured the body, but also delayed their pregnancy.

In fact, infertility patients, not all need to do hysterosalpingography. An angiogram is necessary only if the following three conditions occur. (You may refer to https://www.youtube.com/watch?v=j9oyHOIM8rQ for vedio animation about what Salpingography is - This animation was designed for the Department of Interventional Radiology at Johns Hopkins University School of Medicine to aid in patient education)



Patients with a history of abortion need to do fallopian tube angiography

Whether it is due to factors such as lack of financial ability or ideology, many people will choose to have a miscarriage. In fact, whether it is artificial abortion, medical abortion, spontaneous abortion or induction of labor, etc., will cause certain hidden dangers to the fallopian tube.

This is because the aborted embryo is a bacterial culture that causes the uterine cavity, salpingitis induction, tubal adhesion, tubal obstruction, hydrosalpinx, Etc., resulting in infertility, or ectopic pregnancy. Therefore, women who have had a history of abortion need to have a hysterosalpingography.



Patients with a history of Pelvic inflammatory disease or pelvic surgery, need to do fallopian tube angiography

First, in the previous imaging examination, the tubal thickening, tubal fibrosis, cystic dilatation of the fallopian tube, etc., or diagnosis of fallopian tube ovarian cyst, chronic pelvic connective tissue inflammation or pelvic inflammatory disease, patients need to have hysterosalpingography.

For mild or moderate conditions, patients can orally take TCM formula Fuyan Pill for treatment, patients with severe conditions need to surgically remove the lesions, and anti-inflammatory treatment after surgery.

Second, if there has been a history of pelvic surgery, such as uterine myomectomy, ovarian cyst dissection, tubal umbrella ostomy, endometriosis surgery, chronic appendicitis and other operations, a non-complete postoperative anti-inflammatory will lead to pelvic adhesion.

The pelvic cavity is extensively adhered and even causes obstruction of the fallopian tube. With infertility in such patients, priority should be given to hysterosalpingography to check the fallopian tube.



Patients with a history of tuberculosis need to have hysterosalpingography

Mycobacterium tuberculosis is highly contagious. It can pass through the blood circulation and lymph circulation to all parts of the body, especially in the lungs, stomach, liver, lymph, intestines, bones, etc.

Women can have it infected to the fallopian tubes, endometrium, tuberculosis, endometrial tuberculosis. Therefore, patients with a history of tuberculosis should be given priority for hysterosalpingography. If the fallopian tube is found to be beaded, calcified, etc. during angiography, it is necessary to consider tuberculosis, and further test for tuberculosis.

Warm reminder: Patients who are excluded from the above-mentioned conditions only need hysterosalipingography when found infertile after more than a year of pregnancy preparation. If there is no abnormality in all aspects, uterine fallopian tube angiography is performed. However, for older woman, the test can be done if infertile after half a year of preparation for pregnancy.


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