Ultrasound patency of the fallopian tubes in St. Petersburg
The analysis on the patency of the fallopian tubes is one of the first studies prescribed in the absolute futility of attempts to become pregnant within six months. After all, the female reproductive system is the most complex mechanism, and the slightest failure in one of its components can lead to infertility.
Specialists of the First Family Clinic of St. Petersburg invite patients to the Primorsky and Petrogradsky districts of the city to get detailed advice and to check the patency of the fallopian tubes, the price of the manipulation is indicated in the price list.
Indications for examination
An evaluation of the internal genital organs is performed with:
- menstrual disorders,
- too heavy periods,
- the impossibility of conceiving within six months of active sexuality,
- available STDs in history
- inflammatory lesions of appendages,
- regular pain in the lower abdomen,
- evaluation of the effectiveness of therapy.
Still thinking, where to check the patency of the fallopian tubes in St. Petersburg? Sign up for the First Family Clinic. We are waiting for you in the branches of Primorsky and Petrogradsky districts.
Procedure for testing tubal patency: features
The procedure for checking the patency of the fallopian tubes is recommended mainly for infertility, preparation for IVF and the presence of serious suspicions about the development of such serious pathologies as:
- tuberculosis of the uterus and appendages,
- the formation of polyps or synechiae.
Since the cost of checking the patency of the fallopian tubes in clinics cannot be called low, it is necessary to approach preparation for it with full responsibility. Patients must first pass a series of laboratory tests, and just a few days before the appointed day, they must abandon:
- use of vaginal tablets, candles, intimate hygiene products,
- sexual intercourse,
- eating foods that increase gas formation in the intestines (beans and other legumes, pastries, sodas, cabbage, etc.)
Although the procedure for patency of the fallopian tubes using ultrasound is not associated with surgery, it can still be quite painful or at least unpleasant. Therefore, 30–60 minutes before the scheduled time for diagnosis can be taken an antispasmodic pill.
The study is conducted using ultrasound or radiographic equipment and a catheter. Before a direct assessment of the state of the organs, the doctor identifies possible contraindications, selects the best option for the manipulation and necessarily makes a diagnostic ultrasound.
The essence of the diagnosis consists in introducing a special catheter into the uterine cavity, through which, when using X-ray equipment, contrast is applied, and when using an ultrasound unit, physiological saline is applied. On the behavior and distribution of fluids make conclusions about the state of the fallopian tubes.
The specific course of action is determined by the doctor in accordance with the history, the individual characteristics of the patient's body and the presence of certain contraindications. Sometimes it depends on how much it costs to check the tubal patency in Petersburg. By the time such an examination takes from 20-50 minutes, although on average it lasts no more than half an hour.
In general, the patency of the fallopian tubes in St. Petersburg can be performed on any day of the menstrual cycle, with the exception of the bleeding period itself. However, the optimal time for its implementation is considered the first two weeks after the completion of menstruation.
The method provides the most objective data on the state of the reproductive system. Thanks to him, produced:
- identification of existing diseases and causes of infertility,
- assessment of the severity of the detected pathology,
- determination of the shape, size and structure of the uterus,
- detection of pathological changes in the reproductive system.
Therefore, the study allows to reliably determine the causes of the violation of the condition, the area in which they arose and to select the optimal treatment regimen.
Ultrasound patency of the fallopian tubes in St. Petersburg can not be performed with:
- acute inflammatory processes in the body, including those observed in the pelvic organs, as well as acute respiratory infections and flu,
- serious pathologies of the cardiovascular system,
- kidney and liver diseases,
- uterine bleeding.
Strictly incompatible testing for patency of the fallopian tubes by ultrasound and pregnancy. Therefore, before its implementation, it is necessary to make a test.
Treatment of infertility and other disorders in the reproductive system of women is impossible without a full examination. Register in "The First Family Clinic of St. Petersburg" to find out the patency of the fallopian tubes. This will allow time to start the necessary therapy and avoid unpleasant consequences. We are waiting for you on Kamennoostrovsky Avenue, 16 (metro station Petrogradskaya, Chkalovskaya and Gorkovskaya) and on Kolomyazhsky Avenue, 36/2 (metro station Udelnaya, Pionerskaya).
Stock on ultrasound patency of the fallopian tubes
The reception includes an examination by a gynecologist-endocrinologist, a smear on the microflora, an ultrasound examination of the pelvis.
Comprehensive ultrasound for women and men for just 3 900 rubles:
- Abdominal ultrasound (liver, spleen, gallbladder, pancreas)
- Ultrasound of the kidneys and adrenal glands
- Pelvic ultrasound
- Thyroid Ultrasound
- Breast ultrasound (women)
- Ultrasound of the bladder and scrotum (men)
NGC offers patients who have had IVF attempts at other clinics (including under the OMS program) to undergo the procedure with a significant discount of more than 15% of the cost of the primary program of basic IVF in the clinic.
Thus, you will make an IVF program at the price of a repeat: 98 000 rub. instead of 118,000 rubles. !
Participation conditions: supporting documents for IVF in other clinics.
Preparations for the procedure are purchased separately.
Male screening 3 900 3 120 rubles, female - 5 700 4 650 rubles!
- CA 19-9, (pancreas. Gland and colon)
- CA 72-9 (gastrointestinal tract)
- Common PSA, free prostate PSA) - men
- CA 15-3 (mammary glands) - women
- ROMA СА 125, NOT-4 ovaries) - women
+ Consultation with a doctor on the results of tests.
Types of obstruction of the fallopian tubes
Uterine tubes are a pair of thin hollow processes located in the corners of the bottom of the uterus and out into the abdominal cavity. The length of the tubes is 10-12 cm, and the diameter of the lumen is about 0.5 cm. The free ends of the fallopian tubes approach the ovaries, from which mature ovules leave after ovulation.
After entering the tubal canal, they can be fertilized. On the inner surface of the fallopian tubes there are special cilia, pushing the ovum into the uterus, where it is fixed and begins to develop.
If the patency of the fallopian tubes is for some reason impaired, then fertilization is impossible or the ovum is unable to reach the organ cavity. However, it either dies or begins to grow right in the pipe, which leads to its rupture. There are the following types of pipe obstruction:
- Organic. The lumen of the tube is narrowed or blocked as a result of the formation of internal and external adhesions, disruption of the shape of organs, the formation of a tumor.
- Functional. Damage to the inner lining of the fallopian tubes.
The formation of adhesions and damage to the cilia can occur as a result of the occurrence of inflammatory and infectious processes, as well as operations (including abortions) on the uterus, ovaries, and pelvic organs. Tubal obstruction is a common cause of infertility, so if a woman planning to have a baby cannot become pregnant within 1 year, she is advised to track the condition of the fallopian tubes.
In addition, indications for the diagnosis of patency tubal channels are previously transferred ectopic pregnancy, as well as the presence of any abnormalities in the development of the genital organs. If a woman is not going to give birth and she has no symptoms of gynecological diseases, then she does not need to undergo such an examination.
Methods of checking patency
It is impossible to find out the condition of the fallopian tubes by any home methods. Do not waste time on self, not knowing the exact cause of infertility. To check the patency there are a number of effective ways.
Before the examination, the patient passes blood tests for HIV, hepatitis C and B, and sexually transmitted infections. During the gynecological examination, a smear is taken on the microflora of the vagina and cervix.
If any infectious or inflammatory diseases of the genital organs are detected, the examination is postponed until recovery. Checking patency of the fallopian tubes is not carried out also in the presence of uterine bleeding.
Verification of the patency of the tube using ultrasound
A method called hydrosonography (or echohydrosalpingoscopy - EGSS) is used.
The permeability of the tubular channels is checked as follows: the uterus is gradually filled with saline. Previously, an ultrasound probe with a video camera is inserted into it through the neck. With its help, it is observed how freely the fluid passes through the tubes into the abdominal cavity.
The procedure for checking the patency prefer to spend in the days preceding ovulation, when the cervix is maximally expanded, and the muscles of the uterus are relaxed. If uterine spasm occurs, which prevents movement of the solution, the result may be inaccurate.
The advantages of such a survey are its safety, as well as almost complete painlessness. At the request of the patient, local anesthesia may be performed (novocaine injection into the cervix). No prior preparation is required.
Sometimes, instead of saline, a special foam is introduced into the fallopian tubes. If the permeability is normal, foam bubbles appear in the abdominal cavity. With the overgrowth of the lumen of the tube, the foam goes into the uterus, and then out.
The use of hysterosalpingography (HSG)
This is an x-ray method that uses a dye solution (“contrast agent”). Using a catheter, it is slowly introduced into the cavity and fallopian tubes through the cervix. Then an x-ray is taken. It clearly shows all internal defects leading to blockage of pipes, as well as bends.
The procedure is painless, but when filling the uterus with a contrast solution, you may experience discomfort (feeling of distention).
The condition of the tubes is usually examined on any day of the cycle, except for menstrual days, if the woman uses contraceptives. In the case when it is not protected, wanting to get pregnant, the procedure is performed on the 5-9 day of the cycle. However, doctors strongly advise to refrain from conceiving for a month after the procedure.
The disadvantages of this method include:
- The use of harmful x-rays. If hydrosonography can be repeated if necessary, then x-rays can often not be performed.
- The insecurity of using a contrast agent. Prolonged exposure to the dye solution used can damage the tube cilia.
- Some women are allergic to the dye used.
- Reliability of results can be reduced due to spasm of the uterine muscles. The accuracy of the study is approximately 70%.
A warning: Before you schedule such an examination, the doctor must be completely sure that the woman is not pregnant.
This method of checking the patency of the fallopian tubes implies blowing them with air or oxygen under a certain pressure. To carry out this procedure requires the preparation of the intestine (cleansing enema is done) and emptying the bladder.
The procedure is carried out in phase 1 of the cycle. A mandatory requirement is the absence of pathogenic germs in the genitals of the patient, as well as inflammatory diseases.
The woman practically does not feel pain during the perturbation. To relieve discomfort before it is administered intramuscularly baralgin or no-shpa.
The duration of the procedure is a few minutes. Data processing is carried out on the computer. When assessing the patency of the tubes, the frequency of uterine contractions and the rate of passage of gas are taken into account.
If there are no problems with maneuverability, then after such a blowing, conception can be planned already in this cycle. The study is simple, relatively cheap, but its results are accurate only by 60%.
Endoscopic patency testing methods
These include laparoscopy and fertiloscopy. These methods of checking the patency of the fallopian tubes are very accurate, but to get the results you need to do a little operation. To conduct both procedures requires prior preparation: complete bowel cleansing, bladder emptying.
When a patient has vaginal dysbiosis, infectious and inflammatory diseases of the pelvic organs, the operation cannot be performed. In this case, pre-treatment. Contraindications are also tumor diseases, disruption of the cardiovascular system, blood forming organs.
This method is used not so much for diagnostics, as for the elimination of defects that caused obstruction of the fallopian tubes. A low-impact operation is performed using epidural or general anesthesia. 2-3 punctures are made in the abdominal wall through which the endoscope and surgical instruments are inserted. The doctor, looking at the monitor screen, has the ability to manipulate with high accuracy. During the procedure, not only the state of the uterus, but also other organs of the small pelvis is examined.
The dissection of partitions in the lumen of the fallopian tubes, as well as the removal of external adhesions or neoplasms that impede the ingestion of an egg cell, is performed. The disadvantage of this method is that the examination is carried out in a hospital where the patient must spend several days.
Punctures heal quickly, and there are practically no marks on the skin, but, as with any surgical intervention, there is a risk of complications: an infection can penetrate into the uterus, possibly damaging the wall with instruments and causing bleeding. In addition, for the procedure, it is necessary to use expensive equipment, which can only work with highly qualified specialists. Therefore, such a study is not cheap.
It should be noted: After eliminating obstruction of pipes in a similar way, relapses often occur, therefore, it is not recommended to postpone conception for more than 3 months, since the chances subsequently decrease. In addition, the re-clogging of tubes increases the risk of ectopic pregnancy.
As in the previous method, inspection of the uterine cavity is performed using an optical device. But it is introduced not outside, but through a small puncture in the back wall of the vagina. However, no trace of surgery on the abdomen remains.
The procedure takes approximately 20 minutes and is performed under local or intravenous anesthesia. Through a puncture in the wall of the vagina in the pelvic area with a special tube saline is injected to separate the organs and get a clearer image. In the same tube fit the lighting device and a video camera. The causes of obstruction of the tubes and defects inside the uterus are clearly visible on the screen.
The disadvantage is that it is impossible to eliminate any pathology using this method. If anomalies are found, then additionally resort to abdominal techniques.
Transvaginal laparoscopy is sometimes used for follow-up examinations of organs after routine laparoscopy.
This method is a combination of transvaginal laparoscopy and chemohydrotubation, during which a dye solution is injected into the fallopian tubes. With the help of the camera, the uterus is examined (hysteroscopy), and the patency of the fallopian tubes is examined using a salpingoscope (the finest endoscope).
The advantages of transvaginal examination methods are their low invasiveness, the possibility of carrying out the procedure not only in the hospital, but also in the treatment room of the polyclinic. After such a survey there are practically no complications.
Cost of examination
It varies depending on the services provided by the clinic (type of anesthesia, the complexity of the equipment, ancillary procedures). Ultrasonography is relatively inexpensive (from 6,000 to 8,000 rubles). The price of hysterosalpingography is about 8,000-25,000 rubles, and the cost of laparoscopy comes to 42,000-6,000,000 rubles.
When choosing a method, its information content, the individual characteristics of the patient's body (for example, the presence of an allergy to contrast or painkillers), and the tolerance of pain are taken into account.