Video: ❶ How To Determine The Obstruction Of Pipes
The cause of infertility is often obstruction of the fallopian tubes. Pathology can occur as a result of peritubar adhesions and cicatricial changes in the peritoneum covering them, as well as due to inflammatory diseases of the tube. Location: Location: Make an appointment with your gynecologist to check the patency of the fallopian tubes. Pathology is determined in the absence of contraindications (enlarged painful appendages, increased body temperature and ESR, diseases of the lungs, cardiovascular system, cervititis, etc.) using kymographic research methods - pertubation and hydrotubation.
Pertubation consists in the introduction of air into the fallopian tubes using a special apparatus. The air pressure is increased gradually, it should not exceed 24 kPa (180 mm Hg). The results of the examination are assessed in terms of pertubation pressure, the amount of injected air, bilateral auscultation data, and the presence of phrenicus symptoms.
Hydrotubation is the introduction of fluid into the fallopian tubes. The conditions are the same as for the previous method. The procedure gives fewer complications than pertubation, but it does not allow registering tubal motility. Complications include collapse, tubal rupture, gas embolism, etc. For research, a woman needs to go to a hospital.
Hysterosalpingography consists in the introduction of contrast agents into the uterine cavity, followed by X-ray examination. Using this research method, it is possible to reveal not only the degree of patency of the fallopian tubes, but also to obtain information about the topical diagnosis of certain disorders, as well as the relief of the mucous membrane of the uterus and fallopian tubes.
Laparoscopy is often prescribed. The method is based on the introduction into the uterine cavity of a colored aqueous solution using a puncture of the abdominal cavity. A sterile optical device is inserted into the cavity only after appropriate preparation and control. The procedure is performed in a hospital under the supervision of a gynecologist.
Based on the results of the examinations, a conclusion is made about the patency of the fallopian tubes and treatment is prescribed, which can be carried out on an outpatient basis.