How to check the patency of the fallopian tubes
Children are a continuation of ourselves, therefore, almost every woman dreams of a happy and healthy offspring. However, some are faced with the inability to get pregnant, when they heard the terrible diagnosis of «infertility». To determine the causes, to determine treatment methods, the gynecologist will direct you to check the fallopian tubes. This is one of the first procedures depend on the reproductive functions of the body. How to check the patency of the fallopian tubes, is the treatment painful? Let us examine these questions.
Why disturbed patency of the fallopian tubes
Uterus – a major organ, the health of which depends the possibility of conception and carrying a child. The fallopian tubes (popularly called the oviduct) is a paired organ that connects the abdominal cavity with the uterus. They are located horizontally on both sides of the uterus, have a cylindrical shape with a diameter of from 4 to 6 mm. the Inner surface of the fallopian tubes epithelium covered with cilia that help move the egg.
The fallopian tubes are slightly different in length from each other, which is 10 to 12 cm. they are egg and sperm. What is the «right» functioning of cilia epithelium inside the fallopian tubes, the more likely women are to get pregnant. According to him, the fertilized egg moves and gets to the uterus for further development.
According to physicians who deal with problems of infertility from 30% to 40% of all cases a disappointing diagnosis is due to obstruction of the fallopian tubes. Causes of illness can be:
- the presence of inflammatory processes non-specific nature, which are caused by contact and active bacteria;
- of sexually transmitted infections – gonorrhea, chlamydia, Ureaplasma, Mycoplasma infection, trichomoniasis, genital herpes;
- gynecological surgery and complications;
- surgical intervention in the treatment of diseases of the abdominal cavity (appendicitis, peritonitis), patients with pelvic;
- diseases of the reproductive system, salpingitis, zakosarenko, endometriosis, uterine fibroids.
- Functional. These reasons are caused by abnormality of the fallopian tubes, congenital complete or partial absence of the latter. In rare cases, occur due to extreme stress or hormonal imbalance.
To identify or refute the diagnosis of «infertility», to deal with the causes of disease, prescribe adequate and effective treatment is necessary to consult a specialist, clinical research. Many women about the presence of inflammatory processes, cysts, fibroids found randomly in the diagnostic process. Don’t forget about the need to undergo gynaecological examinations at least once every six months.
Effective methods for determining the patency of fallopian tubes
How to check the patency of the fallopian tubes? Proven methods are painful, require long clinical trials conducted under General anesthesia. Newer, modern ways of diagnostics is relatively painless, does not require General anesthesia. To select the most appropriate method:
- Consult to the gynecologist.
- The physician should conduct a gynecological history.
- Depending on the results, is assigned to a diagnosis/treatment or surgery to restore patency of the fallopian tubes.
This procedure consists in the study of the fallopian tubes using x-rays. Hysterosalpingography helps to determine if passable fallopian tubes, the presence of deformation changes of the uterus and appendages; to learn about the state of the endometrium, the presence of pathologies. The essence of diagnosis is the introduction into the cervix through the cervical canal a special substance that is visible on x-ray photos.
The specialist sees in the picture the condition of the uterus and appendages: presence of extensions, constrictions, adhesions, tumors. On average, introduces approximately 13 mg of the liquid. If the fallopian tubes have a permeability, the liquid is poured over the uterus, around the ovaries. The procedure is carried out for 7-12 days after ovulation. It is important that absent any inflammatory process. The accuracy of the method ranges from 80% and above.
To check the patency of the fallopian tubes with a probability of 90 % is possible without a high radiation dose using ultrasound in 2D, 3D or 4D measurement. This method is called hydrosonography or echosclerotherapy (Ecohydrology). To visually confirm/refute the diagnosis in the uterine cavity introduces a special vaginal probe. The main drawback of the procedure is the high dependence of the results on the skill of the operator with the device and its ability to properly, competently to decipher the pictures.
This costly operation requires a stay in hospital one or two days. It is a surgical procedure in which through a small incision in the abdominal cavity in the fallopian tube, the laparoscope is introduced. The accuracy of diagnosis is 99.9 %. Procedure to diagnose patency of the infundibulum, possible complications (cysts, tumors) after infectious, inflammatory, treatment of pelvic organs (uterus, ovaries, appendages).
The difference of fertiloscopy from laparoscopy involves the insertion of an endoscope through the cervical canal. This relatively new method allows high accuracy to conduct a control over the condition of the uterus and its appendages. Than less likely to detect obstruction of the fallopian tubes, the better the conduct of fertiloscopy. Unlike the GHA, this method gives more accurate results when spasms of the uterus, which adversely affect the accuracy of hysterosalpingography.
What tests must pass before the test
Before sending to check the fallopian tubes, the gynecologist will ask you to pass tests:
- Urogenital secretions (gynecological smear).
- Cytology of the cervix and cervical canal with a PAP test.
- For infections, sexually transmitted diseases, HIV, TORCH infections by the method of polymerase chain reaction (PCR).
Where to do it and how much is study in Moscow
Public, private clinics and hospitals offer a wide range of services for women who need to check the patency of the fallopian tubes. If a few decades ago such a diagnosis would put an end to the woman’s desire to become a mother, the modern achievements of scientists help to restore the functionality of the fallopian tubes, giving joy, the joy of motherhood.
The price of services differs depending on the type of diagnosis, the reliability of the final results, possible consequences and side effects:
|The name of the clinic||Analysis||Approximate cost, RUB|
|Clinic In Vitro||The capture of gynecologic material||390|
|A comprehensive analysis of the «Sex in the city: 12 infections + smear||5840|
|Cytology of the cervix and cervical canal PAP test||1230|
|Studies of infections by PCR from 1 to 18 infections||From 180 to 2,780|
|Women’s health center||Comprehensive analyses to identify hidden infections + PAPP-a test||4900-6900|
|Studies of infections by PCR from 1 to 18 infections||From 350 to 2950|
|Smear on flora||450-550|
|Center of traditional obstetrics||The capture of biomaterial (DAB)||500|
|Integrated services (tests for detection of patency of tubes)||From 5500 to 15000|
|Gynecology Anmed||The capture of biomaterial (DAB)||300|
|Studies of infections by PCR from 1 to 20 infections||From 300 RUB.|
Types of diagnostics and their prices in different clinics:
|The clinical/diagnostic tests||Approximate cost, RUB||The name of the clinic|
(international medical center)
|Description of picture doctor||1200|
|Echosclerotherapy (US)||7000||Clinic Lama (center for rapid gynecology)|
|Reception and inspection of the gynecologist||free|
|Hysterosalpingography||8000||Clinic In Vitro|
|Laparoscopy category 1||14590||Clinic «Family doctor» Moscow, Saint Petersburg|
|Laparoscopy 2 category||21320|
|Injection into the cervix||450|
|Consultation of the gynecologist + ultrasound (echosclerotherapy)||3500||The center for reproduction and family planning|
|Surgical laparoscopy + hysteroscopy||From 69000|
|Sonohysterosalpingography||6000||Center of traditional obstetrics|
Video: the fallopian tubes tested for patency
Checking the fallopian tubes for patency begins with the preparation:
- Treatment of inflammatory processes of genital organs.
- A thorough hygienic toilet.
- Receiving antispasmodic drugs in the dose recommended by the gynecologist.
Choosing research methods, consult your gynecologist: find out what will work for your scenario, ask them to justify why. If you are afraid of pain, of unpleasant symptoms, discuss in advance the possibility of anaesthetic injections into the cervix. Try to calm down before the procedure: spasms due to stress, can adversely affect the diagnostic results. To learn more about the advantages of individual methods of checking the patency of the fallopian tubes you can view the video below.
Preparation for the examination
Diagnosis of tubal patency
The advantages of methods of research of the fallopian tubes
Feedback about the results
Irina, 28 years:More than two years, I’ve been trying to get pregnant: regular sex life, absence of infections and inflammations to no avail. Contact the clinic of reproductive gynecology, together with the doctor figured out the cause: use long to prevent the intrauterine device. The result was spikes, who discovered the first time you hydrotubation, with repeated treatments (4 times) were removed. The pain was not strong. But after a year I became a mother of two adorable kids.
Alexander, 22 years:stupidity at the age of 19 I had an abortion, which later became the cause of inflammation of the appendages. My husband and I tried to get pregnant for about six months. Three clinics abroad, plenty of money spent, lots of tests… and finally the long-awaited two strips on the test! Helped fertiloscopy and correctly prescribed treatment doctor of one of the Moscow clinics. I bow to him!
Inga, 30 years:Hearing the diagnosis of «blocked tubes», I lowered my arms and fell into a depression. Saved me a roommate. She said that the opportunity to become a mother required of the surgeon, 10 years ago she did a laparoscopy, which restored the patency of the fallopian tubes and helped to remove the ovarian cysts. I have an appointment in a private clinic, where free had a consultation: confirmed the diagnosis, was sent for tests and a laparoscopy. Thanks to Yuri Ivanovich for my four month old chubby!