【Medical Q&A】Fallopian tube problems lead to long-term infertility, how to check?

The fallopian tube is one of the important components of the female reproductive system, which connects the uterine cavity and the ovaries, assumes the important role of ingesting sperm, picking up eggs and transporting fertilized eggs to the uterine cavity, and is one of the key factors in a successful pregnancy, so once the fallopian tubes are abnormal, it is bound to affect the natural conception of women, and even the possibility of infertility. Fallopian tube problems lead to long-term infertility, how to check?

Who needs to have a fallopian tube test

Both spouses have normal sex

1

If the woman has not been pregnant for more than 1 year without contraception and the man has no abnormalities in the examination, the woman needs to check the fallopian tubes to determine whether infertility is caused by fallopian tube problems.

For those who have had a tubal ligation

2

But women who now want to have children must have a tubal exam to understand the uterus and fallopian tubes and decide whether they can have surgery.

For women who have had an ectopic pregnancy

3

In order to avoid the recurrence of ectopic pregnancy, a fallopian tube examination should be performed to understand the patency of the fallopian tubes and to determine whether there is blockage, adhesion or water accumulation of the fallopian tubes, so as to treat the symptoms.

For women who have had a history of miscarriage

4

Because improper operation or improper care during and after surgery, it is easy to lead to inflammatory infection, infection up to the fallopian tubes, can lead to salpingitis, and then blockage, adhesions, so it is necessary to carry out tubal examination to determine whether tubal disease is caused by miscarriage.

For those who have had tubal surgery

5

However, women who have not yet become pregnant one year after surgery need to undergo a tubal examination to confirm the recovery of the fallopian tubes and determine whether there is adhesion or blockage.

What are the ways of salping testing

Commonly used tubal examination methods include watering of the fallopian tubes and salpingogram. Among them, salpingogram has been clinically used as a first-line diagnostic method due to convenient examination, low price, simple operation, and accuracy of more than 90%, while tubal watering has been completely eliminated due to the poor correct diagnosis rate of whether the fallopian tubes are unobstructed.