Hysterosalpingography (HSG) or in Turkish words womb movie It is a method used in gynecology to examine the structural and functional properties of the uterus and its channels. It is one of the basic tests requested in the evaluation of infertility.
In the picture on the side, there is a normal uterus shape and the medicine easily passes through both channels and is distributed into the abdominal cavity. a normal movie can be seen. It is also widely used to evaluate a possible obstruction in the cervical canal or a possible adhesion within the uterus (Asherman syndrome) in cases where menstrual bleeding stops or decreases significantly after an intervention to the cervix or uterus (such as abortion), and to determine whether there is a congenital developmental defect in the uterus in recurrent miscarriages (the picture on the left below - split uterus).
When will the movie Rahim be shot?
Before applying HSG, a detailed gynecological evaluation is done. If signs of infection (inflammation) are detected during this evaluation, the procedure is postponed until the infection is treated.
In principle, HSG is applied within a few days after the end of menstrual bleeding.
The reason for this is, on the one hand, to prevent problems caused by menstrual bleeding from the uterus filling the tubes and from there into the abdominal cavity, and on the other hand, to prevent any harm to a possible pregnancy in the uterus. Because, although very rare, a woman who is evaluated for not being able to become pregnant may also have a pregnancy in that month by chance.
How to take a uterine film?
Rahim movie one Gynecology and Obstetrics Specialist and Radiology Specialist or Technician are implemented together. While in gynecological examination position cervixAn instrument is inserted into the vagina to view. Then, another device called a cannula is inserted into the uterus. Contrast material (medicated substance) is administered by applying pressure in several stages through the syringe attached to the cannula. This liquid gives a white appearance to the x-ray film as it does not transmit light. During fluid administration, x-rays are either taken at regular intervals or the passage of fluid through the screen is constantly monitored and recorded using a method called fluoroscopy.
In this way, the internal structure of the uterus, whether the channels are open or not, and their structure are evaluated.
Although HSG is a technique performed with the help of x-rays, the dose of radiation given is not high.
Is uterine film removal a painful procedure?
There is a common belief among women that uterine film is very painful. But polite and careful When done with an application, HSG actually has some effect on the abdomen. stinging and stretchingIt is a procedure that creates sensation and causes little tolerable pain. For this reason, the procedure is generally not performed under general anesthesia. However, it can also be performed under anesthesia in women who have a low pain threshold and are very sensitive, who can hardly tolerate even a normal gynecological examination. For the majority of patients, a simple painkiller taken 30-60 minutes before the procedure ensures that the procedure is comfortable and trouble-free. There is a slight increase in spontaneous pregnancies after HSG withdrawal. The reason for this is explained as the slight adhesion in the tubes being opened due to the medication given under pressure. Also, if there is a microbial event as a cause of infertility, the antimicrobial properties of the drug given may also be therapeutic. After HSG examination of a couple who has been suffering from infertility problems for a long time. spontaneous pregnancy so it is not surprising.
Are there any harmful side effects of having a uterine film?
Rarely, an allergic reaction may occur while a uterine film is taken. For this reason, new types of drugs with extremely low allergy potential should be preferred instead of old types of drugs. The most common complication is infection and occurs in one in every 100 patients. There is no need to use antibiotics before or after the procedure to prevent infection. Antibiotic prophylaxis is given before the procedure as a precaution only in patients with heart valve disease.
After the shooting of Rahim Movie;
There may be spotting or small amounts of vaginal bleeding. If bleeding is heavy or lasts longer than a few days, your doctor you need to call. Additionally, mild or moderate waist and groin pain may occur after the extraction. If the pain increases or a fever occurs, this may be a sign of an early infection, and be sure to call your doctor. After HSG, as the cervix is slightly strained during the procedure. 48 hours It is dangerous to take a bath, have sexual intercourse and use vaginal tampons for a long time, and you should avoid them.
What happens if one or both of the tubes are closed in the uterine film?
First of all, it is necessary to know that although HSG is a very useful and basic examination, it may not always reflect the truth. So, just because the tubes appear closed on the uterine film does not always mean that they are actually closed!
pain threshold Due to the discomfort and pain that some women experience during the procedure and as a reaction to the medication given, sometimes the canals spasm This may cause the medicine to pass through the tubes and cause one or both tubes to be blocked incorrectly. closed may cause it to be interpreted as . However, when evaluating a uterine film, an experienced Gynecologist can often (though not always) distinguish the failure of the drug to pass through the tubes due to spasm from a truly blocked uterine film. For this reason, we recommend that a muscle relaxant, called an antispasmodic, be administered before the uterine film. Sometimes the tubes considered closed in the film Laparoscopy It can also be seen that it is open during Therefore, if the tubes are thought to be closed and a decision on in vitro fertilization is to be made, Laparoscopy It might make more sense to do this. Because in laparoscopic evaluation, it may be revealed that the tubes are actually open and it can be understood that the couple will benefit from the insemination method.
In addition, during Laparoscopy, the problem in the tubes can be revealed more clearly and treated immediately, and with the necessary intervention. opening of channels can also be provided. Of course, this may not be valid in every case and after laparoscopy, the couple can only IVF It may also turn out that they will benefit from treatment.
Assoc. Prof. on In Vitro Fertilization. Dr. Click to Consult Selman Laçin
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