Ultrasound fallopian tube check

BENEFIT OF Ultrasound tube check-sonohysterogram
The reproductive organs in a female consist of the vagina, cervix, uterus, fallopian tubes and the ovaries . The ovary produces the eggs which are fertilized in the fallopian tubes. The embryo then travels along the fallopian tube in the first few days of life and eventually attaches itself in the cavity of the uterus, growing into a full term baby. One of the common causes of infertility (inability to fall pregnant) is a blockage of the fallopian tubes. The fallopian tubes are about 15cm long and arise from the upper uterus on both sides. The other end of the tubes has a wide opening which lies over the ovary to pick up the egg at the time of ovulation. The patency (openness) of the fallopian tubes can be confirmed by performing a tubal patency test with an ultrasound.


How is the test performed?


A vaginal ultrasound examination is performed before the tubal patency test to assess the pelvic organs. We search for any abnormalities that may be relevant to your fertility or future pregnancies. Common abnormalities found are uterine fibroids and polyps. Sometimes the abnormal findings point to a cause of the fertility problems such as endometriosis, so that surgical treatment may be necessary.

After the vaginal ultrasound examination is finished a speculum is inserted into the vagina . The cervix is visualized and then cleansed by an antiseptic solution. The thin catheter is then introduced into the cervix and passed up into the uterine cavity. Very occasionally the catheter cannot be inserted into the cervix. If this occurs, the test is abandoned at this point. Once the catheter is in place a small balloon at the tip of the catheter is blown up to keep the catheter in place. At this time some patients may experience a mild period like discomfort.

Once the catheter is in place the speculum is removed and the vaginal probe is reinserted into the vagina. A small amount of saline is first introduced into the catheter to enhance the views of the cavity and to assess whether the cavity shape is normal, and to also exclude a polyp or other pathology. The air contrast solution is then injected into the catheter, and the movement of the micro bubbles can be clearly seen on the screen as the solution passes through the cavity and into the fallopian tubes to determine whether the tubes are patent or not.

When is the best time to do the test?
The best time to do the Tubal Patency test is between day 5 and 12 of the menstrual cycle. This is to avoid disruption of a pregnancy should there be one in the uterus in the second half of the cycle.

Do I have to have any special preparation?
There is no real preparation necessary except that you should take some mild painkillers such as ibuprofen about 1 hour before the test. Most women easily tolerate the test with very little discomfort.

What happens after the test?
The vaginal examination and tubal patency test will take about 20minutes. You can resume normal activity as soon as you leave the clinic, including returning to work. You may experience some mild cramp after the test . You may be given a sanitary pad to wear for the rest of the day as there may be a small leakage of fluid and blood from the vagina. If you continue to experience significant discomfort more than 24 hours after the test you can contact the doctor for reassurance.
Many studies have seen to indicate that women often get pregnant after this ultrasound tubal test, however the reason for this happening has not been fully identified. Some suggest that during the test ,there is a possibility that some tubal obstructions are removed by the fluid used.
We hope you get the best and succeed in your fertility journey.




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