Why tubal patency test is done and how it is done? скачать в хорошем качестве

Why tubal patency test is done and how it is done?

00:01 - Title 00:26 - Role of fallopian tube 02:27 - Why tubal patency is important? 03:58 - Tests which are used for assessing tubal patency 05:14 - What is done in HSG, SSG or SIS process? 06:24 - Are these tests painful? 07:42 - Is it possible to do these tests without pain? 08:10 - At what time of menstrual cycle these tests should be done? 08:34 - How to interpret the test results? 10:52 - What next? 11:38 - What is hysteroscopy? 12:04 - What is laparoscopy? 13:34 - Clinic details Why tubal patency test is done and how it is done? • Fallopian tubes are connecting links in between uterus and ovaries and also for sperm and ovum. • The collection and transport of ovum and embryo, depends on the functional competence of a fallopian tube, and thus it plays a vital role in conception • Blocked fallopian tubes can hinder the normal conception • Fallopian tubes' patency testing, plays a vital role in fertility assessment of a woman • Tubal blockage can be identified by Hysterosalpingography (HSG), Sonosalpingography (SSG) or Saline Infusion Sonography (SIS) • Mild to moderate pain is associated with these procedures • The processes can be done painlessly under anaesthesia or by diagnostic laparoscopy followed by dye test • HSG, SSG or SIS should be done between day 6 and day 12 to prevent any interruption to implantation process / on-going pregnancy Fallopian tubes are very important part of female reproductive system. It draws the ovum inside by suction, after ovum comes out of the ovary at the time of ovulation. Thus, it helps the fertilisation process which occurs inside its lumen. Uterus is the major organ where embryo gets implanted and gets nourishment. It is this organ which grows with the growing foetus and which gives it a place for rest and play. Fallopian tubes are connecting links in between uterus and ovaries and also for sperms and ovum. Every month, in each menstrual cycle, one or 2 ovum/ova gradually gets matured inside the ovary in a female body and eventually get released in mid-cycle, after attaining full maturity. The released ovum gets sucked by any of the fallopian tubes and that waits there for around a day for sperms to come, to get fertilised. After fertilisation, an embryo is formed and that gradually starts migrating towards uterine cavity, fallopian tube assists this journey by helping their propagation by co-ordinated movement of tubes towards the uterus. Embryo reaches uterine cavity around day 5 after fertilisation, to get implanted. It is thus evident that, the collection and transport function of a fallopian tube plays a vital role in conception. If one of the fallopian tubes is open and adjacent ovary is functioning then, chances of pregnancy are there. Very rarely fallopian tube can suck ovum, released from the opposite ovary also. Generally two ovaries release egg in alternative months. So, chance of getting pregnancy is more in the month when ovary, adjacent to the patent fallopian tube releases egg. Testing of tubal patency therefore, plays a very important role for parenthood aspirants. Hysterosalpingography (HSG) is the most common investigation for diagnosing tubal patency. Hystero means uterus, salpingo means fallopian tubes and graphy denotes recording. During this process dye is pushed through vagina to the uterus and the dye travels through the tubes. Then X-ray is done to take picture of peritoneal cavity to see that whether the dye is coming to the peritoneal cavity or not. The modern versions of HSG are Sonosalpingography (SSG) or Saline Infusion Sonography (SIS). In those processes normal saline is pushed instead of dye and assessment done by ultrasonography. Often patients are worried about the pain related to these procedures. If the tubes are fully blocked or partially blocked then pain occurs due to the pressure of dye or saline. Sometimes partial blocks get cleared by the force of dye or saline and tube becomes fully patent. Rarely this test can also be done under anaesthesia when the patient is very sensitive to pain. These tests are generally done between day 6 and day 12 of menstruation, to avoid causing any kind of disturbance to the implantation process/pregnancy. If bilateral spillage is seen in the test, it means that the tubes are patent. In case of no spillage, bilateral tubal block is diagnosed. When either of the tubes is blocked then in case of HSG the other patent tube can be identified but SIS sometimes fails to assess it. Sometimes, fallopian tubes appear blocked due to corneal spasm during these tests. Diagnostic laparoscopy followed by dye test is the next course of treatment for those patients. In many cases cornual block can be removed by hysteroscopic canulation. Please browse below url to know more about Dr Sutapa Sen https://www.drsutapasen.com/about Please browse below url for Clinic Addresses with Contact details https://www.drsutapasen.com/contact