Objective information about uterus and uterine tubes state can be received by X-ray examination of the uterus and the tubes. This kind of examination is called hysterosalpingography.
Immediately before hysterosalpingography it is strongly recommended to make sure that there are no inflammatory processes in the reproductive tracts. Non-observance of this condition can lead to exacerbation of inflammatory processes after X-ray and severely damage the state of the tubes. In case when smears are not positive, they should be normalized under strict supervision of the doctor.
It is strongly recommended to protect oneself from the pregnancy in those cases when doctor insists on examination in the second stage of menstrual cycle. There are many evidences when despite long-tem infertility history (6-8 years), women got pregnant exactly in that cycle when hysterosalpingography was done. Eventually, long awaited pregnancy had to be interrupted. Both for spouses and doctor this was strong psychological stress, since people think they have lost their last chance.
In order to avoid wrong hysterosalpingography interpretation connected with spastic tubes contractions as response for injection of contrast substance which creates false impression of their impassability, it is recommended to take 2 pills of noshpa or baralgine 30-40 minutes before the procedure starts.
In those cases when previous endometrial operations were complicated by inflammatory processes, following X-ray or any other procedure should be carried out along with anti-inflammatory treatment prescribed by the doctor (some days before, on the day of examination and several days after the x-ray) and only in case when vaginal smears are positive.
Diagnostics and treatment of endometrial pathology (hysteroscopy)
Hysteroscopy is successfully implemented in order to diagnose endometrial pathology, e.g. endometrium polyps, hysteromyoma, endometrium hyperplasia, adenomyosis etc.
Hysteroscopy represents examination of the uterine cavity from inside by using specially designed probes with microvideocameras and light pipes. Received information allows diagnosing pathology with great level of precision and determining its location in the uterus. In case when hysteroscope is equipped with special heads, removal of pathology formations in the uterus is possible in the process of hysteroscopy.
Hysteroscopy makes possible effective diagnostics and treatment without complicated and traumatic operations.
Hysteroscopy is recommended by hysteromyomas, endometrium polyps, endometrium hyperplasia, adenomyosis and other uterus disorders. Besides this, noncarrying of pregnancy and several unsuccessful attempts of extracorporeal fertilization are also indications for hysteroscopy.