Hysterosalpingography ( GHA ) - Causes, Symptoms and Treatment .MF .
Hysterosalpingography (GHA metrosalpingography) - a method of X-ray study of the uterine cavity (hysterography) and fallopian tubes through their artificial contrast.Hysterosalpingography used to establish the cause of infertility, with suspected malformation of internal genital organs, submucosal fibroids, endometrial cancer, cancer of the fallopian tubes, adhesions, and others.
GHA should preferably be in the II phase of the menstrual cycle (16-20 days).However, in cases of suspected internal endometriosis this research should be carried out in phase I, the day after dilatation and curettage, or at the end of menstruation.To perform GHA doctor uses a water-soluble drugs reshtenokontrastnymi (verografin, urografin et al.).
Preparing for hysterosalpingography (HSG)
- hysterosalpingography During the patient should be protected from pregnancy during the menstrual cycle, which will be the GHA;
- for 5-7 days prior to the study to produce blood, urine and secretions from the cervix and vagina flora (GHA without results of these analyzes are carried out not in the law);
- day GHA procedures necessary enema immediately before Hysterosalpingography - empty your bladder.
Hysterosalpingography carried out without anesthesia, so if you have increased pain sensitivity, or you are afraid that it hurts hysterosalpingography, discuss with your doctor before anesthesia GHA.
Do not forget to bring a sanitary napkin.In some clinics need to take a dressing gown, removable shoes and bed linen (usually from the reviews, it is the state medical institutions and hospitals).The cost (price GHA procedures) depends on the clinic, as a rule, in the state hospitals in the direction of the women's clinic hysterosalpingography carried out in the presence of free insurance policy.
How is the procedure GHA
After treatment, the vagina and cervix with an alcohol solution of iodine in the cervix uterine cannula is introduced through which the uterus is slowly injected under fluoroscopy 10-12 ml 60-76% solution of water-soluble X-ray contrast agent, the temperature of whichis 36-37 °.As the filling of the uterine cavity and fallopian tubes produce X-rays.If the x-ray after 3-5 minutes were observed filling of the fallopian tubes, in 20-25 minutes, making repeated images.On radiographs assess the condition of the cervical canal, uterine position, shape and size of its cavity, the location and patency of the fallopian tubes.
for patient HSG procedure is as follows:
you come to the clinic with the results of blood tests, urine and swab, change clothes.The nurse will take you to the office, where directly and will be carried out hysterosalpingography procedure.It is necessary to undress and lie down on the couch on her back, under her back and pelvis podlozhat pillow.In the treatment of genital organs disinfectants will be a little pinch.The procedure is absolutely painless insertion of the cannula.When a radiopaque solution there is a feeling of uterine filling, fullness, pressure, at the end of the process can be a little painful (as it feels in the first day of menstruation).In this position you will have to stand still for a while, the doctor took a couple of shots.Next pumped liquid.
GHA study may be accompanied by short-term fever, bleeding and abdominal pain (independently tested), allergic reactions.Rare cases of fainting after HSG procedure.
nurse takes you back to the ward where you otlezhus until after abdominal pain (from 15 minutes to several hours, depending on the individual).
following 5-7 days after the procedure is necessary to put down pads with medications for the prevention of inflammation of the pelvic organs (put in a day hospital).
can smear the blood of about one week after the GHA, this is normal.If bleeding is severe or longer, or abdominal pain do not go - you need to see a doctor.
metrosalpingography contraindicated in acute or subacute inflammatory processes of genital organs, acute infectious diseases, thrombophlebitis.