Preparation before Hysterosalpingography Examination

Before fallopian tube imaging examination, it is usually necessary to make arrangements for time, physical examination, life adjustment, and psychological preparation. To ensure the smooth progress of the inspection and the accuracy of the results, it is recommended that you understand and follow the following preparation items in advance.

1. Time selection:

hysterosalpingography is generally recommended to be performed within 3-7 days after menstruation, and sexual activity is not allowed during this period. The reason for choosing this time period is that the endometrium is thinner, making it easier for contrast agents to pass through the uterine cavity and fallopian tubes, resulting in clearer image display and reducing the risk of damage and infection to the endometrium. If the menstrual cycle is irregular, doctors may adjust the timing according to specific circumstances.

2. Physical examination:

Before performing imaging, some basic examinations need to be completed to rule out contraindications. This usually includes gynecological examinations and routine vaginal discharge tests to confirm the absence of acute or subacute reproductive tract inflammations such as vaginitis, cervicitis, or pelvic inflammatory disease. In addition, it may be necessary to perform blood routine, coagulation function, electrocardiogram and other tests to evaluate whether the body can tolerate surgery and rule out serious heart, lung, liver, kidney diseases or coagulation dysfunction.

3. Lifestyle adjustment:

Sexual activity should be avoided three days before the examination to prevent ascending infection or interference with the examination results. At the same time, pay attention to personal hygiene. You can take a shower, but do not take a bath or rinse the vagina. Maintain a light diet and avoid consuming foods that are prone to gas production, such as soy products, milk, sweet potatoes, etc., to prevent excessive intestinal gas from affecting the clarity of imaging. On the day of the examination, one can eat normally, but should not overeat.

4. Psychological preparation:

Some women may feel mild lower abdominal distension or discomfort during the imaging process, similar to the feeling of menstruation, which is usually normal and related to the stimulation of the uterus and fallopian tubes by the contrast agent. Understanding this process in advance can help alleviate tension. If you are usually sensitive to pain, you can inform your doctor in advance, and the doctor may use antispasmodic drugs or local anesthesia as appropriate to alleviate discomfort.

5. Taboo screening:

Hysterosalpingography is usually not performed if the following conditions exist: pregnancy, serious systemic diseases such as heart failure, acute infections in the reproductive tract or pelvic cavity, allergy to iodinated contrast agents (can be informed in advance to the doctor, who may choose non-ionic contrast agents or switch to other examination methods), and body temperature exceeding 37.5 degrees Celsius. Before the examination, it is necessary to truthfully inform the doctor of one's allergy history, medical history, and medication use. After the SEP examination, it is recommended to rest in the examination room for 15-30 minutes and observe for any discomfort. Sexual activity, baths, and swimming should be avoided within two weeks after surgery, and showers are allowed. Pay attention to keeping the external genitalia clean and change underwear frequently. If there is worsening abdominal pain, fever, vaginal bleeding exceeding menstrual flow, or abnormal discharge, it is necessary to seek medical attention in a timely manner. After the examination, follow the doctor's advice to take antibiotics to prevent infection, and drink plenty of water to help eliminate contrast agents.