Today the problem of infertility is quite common.Surveys carried out usually begin after a year of regular unprotected sex, which did not result in pregnancy.We couple that faced with such a problem, sooner or later the question arises, how to check the patency of the fallopian tubes so that it was the most reliable and secure.
According to statistics, half of the cases of infertility problem arises due to the fault of women.Men surveyed much easier, so start with them.As a rule, the spouse passes tests for infection and semen analysis.
women surveyed more difficult as there are many factors that affect fertility.The problem could be in violation of hormonal background, leading to a lack of ovulation.
culprit of infertility is sometimes the endometrium, which is no implantation of the embryo.This is possible because of the chronic endometritis, adenomyosis and other diseases.
happens that the couple faced with cervical factor infertility.Thus sperm can not travel from the vagina to the uterus.Since the cervical mucus becomes an obstacle for them.
However, after the exclusion of all these factors, a woman and a doctor, as a rule, are interested in how to check the patency of the fallopian tubes.Normally, the study carried out in the least because of the complexity.
This informative, safe and popular method of study as a normal ultrasound is not suitable for this purpose.Since the size of the fallopian tubes is very small, they are not visualized.In the US they can be seen only in acute inflammation when they are significantly increased.
Meanwhile, tubal factor infertility is the most common.In Russia, about 4 million. Families are not able to have children for this reason.
methods how to check tubal patency following:
- hysterosalpingography or metrosalpingografiya;
- diagnostic laparoscopy;
- pnevmopertubatsiya;
- gidropertubatsii;
- echo hysterosalpingoscopy or sonosalpingografiya;
- office hysteroscopy.
These methods differ in reliability, security, complexity and cost.According to doctors about the best different.
Therefore, how to determine the permeability of the fallopian tubes, the gynecologist and the patient decide together.The most common method is hysterosalpingography.
During this study is introduced into the uterus of a special substance, and an x-ray done.If the pipes are passable, then it is clear how the drug is poured into the abdominal cavity.
However, reaction to the administration of the substance may be a spasm, which will give a false negative result.To avoid this it is recommended to take two tablets shpy before the test.
hysterosalpingography as other manipulations should be carried out only in the absence of inflammation.To do this, before the study shall strokes.Otherwise, the procedure may be a complication of extensive inflammation.
Another disadvantage of this procedure - is the exposure of the pelvic organs.The cycle in which the study is conducted, it is imperative to be protected, even if for a long time, pregnancy does not occur.Many gynecologists believe that after hysterosalpingography probability of conception increases due to the washing effect.
more forgiving, but less informative is sonosalpingografiya.Instead of using X-ray ultrasound, and inserted into the uterus with saline.
gidropertubatsii pneumatic and is now rarely used because some gynecologists believe that they stretch the tube.These techniques are the introduction of air into the uterus and a solution of (respectively) under pressure.
most informative method is laparoscopy, which is the diagnostic studies can go into medical manipulations.The cause of obstruction are adhesions arising from inflammation, and endometriosis operations.If these diseases are detected during laparoscopy, it can be immediately removed.
Today, such operations are very common, they are more forgiving than usual.Laparoscopy makes three small incisions through which introduces tools, including the camera, allowing to examine the uterus, ovaries, tubes and monitor the progress of the operation.It is performed under general anesthesia.After this manipulation is a therapy for the prevention of adhesion formation.When
office hysteroscopy into the uterus through the vagina flexible hysteroscope is introduced, at the end of which the camera.It allows you to examine the cervix, uterus, tubes, and under its control to undertake the necessary manipulations.
Thus, how to check the patency of the fallopian tubes woman chooses in consultation with the doctor.To date, there are several ways to do this.They differ informative, price, probability of complications.
