One common cause of infertility is the obstruction of the fallopian tubes. There are several ways to diagnose this condition. However, the most used of them is hysterosalpingography (GHA), the consequences of which are not very pleasant, but quite tolerable.
This study can be carried out on various days of the menstrual cycle as directed by a doctor. The night before, you can’t eat up, eat and drink on the day of the study. Before the GHA, it is necessary to make an enema, empty the bladder and shave the pubic hair.
GHA, the consequences of which can be minimized by passing the necessary examination in front of it, is usually carried out without anesthesia, however, at the request of the patient, light anesthesia can be used. A week before the test, you need to take urine and blood tests, make smears from the vagina and cervical canal, be tested for HIV, syphilis and hepatitis.
One of the most unpleasant, but possible consequences of GHA, is the inflammatory process. Therefore, after the procedure, you need to carefully consider your health. Temperature, pain and spotting after GHA for more than three days is an occasion to consult a gynecologist.
You can not conduct a study in the presence of an inflammatory process in the genital tract or if it has recently been transferred. An exacerbation of a general disease is a contraindication to the procedure (pyelonephritis, flu, pneumonia).
Radiopaque may cause an allergy. Therefore, it is necessary to find out the reaction to the drug used, as a rule, it contains iodine.
In the cycle in which GHA is performed, the consequences of which can be pleasant, it is necessary to protect yourself, even if pregnancy has not occurred for a long time. This is due to the fact that after the study, the likelihood of its occurrence increases significantly due to the washing effect.
The contrast agent introduced into the pipes eliminates the small adhesions that previously hindered the onset of conception. This is a truly established fact, so many women have high hopes for this procedure.
GHA, the results of which are of great value for finding out the causes of infertility, is carried out in the X-ray room on a special chair. After a two-handed examination, a radiopaque substance is injected into the uterus and several pictures are taken.
This procedure is tolerated by patients in different ways. Some note only unpleasant sensations, others complain of sharp pain. Most likely this is due to the threshold of sensitivity, which is individual for each person.
After GHA, slight bleeding is possible, so it is necessary to take a sanitary pad with you. It usually goes away after a couple of hours.
After the study, there are painful sensations resembling the onset of menstruation. Especially they appear in a sitting position. A slight rise in temperature and light pink discharge are also possible . These phenomena are the norm in the first few days.
As a result of GHA, the patient receives photographs in her hands, according to which it can be seen whether the fallopian tubes are passable , and if not, in which department. In addition, they can be used to diagnose diseases such as endometriosis, tuberculosis of the reproductive system, various pathologies of the uterus (polyps), including congenital (two-horned, saddle-shaped).
It is important to remember that in 20% of cases, GHA gives a false diagnosis about obstruction of the pipes. This can happen if a woman has long and narrow ones. Then the contrast medium simply does not have time to get into the abdominal cavity.
In addition, tube spasm may occur due to stress and anxiety. Therefore, it is necessary to drink no-shpu before the study. To prevent the inflammatory process, the doctor may prescribe a course of suppositories, tampons or antibiotics.
Thus, GHA, the consequences of which can be both negative (inflammation) and positive (long-awaited pregnancy), is a very informative procedure. It allows you to check the patency of the fallopian tubes, to detect their pathology, as well as the uterus. To prevent negative consequences, it is necessary to follow the recommendations of the gynecologist.