Obstetrics, gynecology

The metrosalpingography: effective diagnosis of the causes of infertility in women

The metrosalpingography (MSG) is a painless diagnostic procedure, which is necessary for the study of uterine (fallopian) tubes. She needed not for all women.

The term metrosalpingography face only those women who are at risk to be diagnosed with infertility.

When conducting a sled needed?

The indication for the procedure is considered to be a year of unsuccessful attempts to conceive a child. In such cases, doctors begin to look for the cause. One of them may be obstruction of the fallopian tubes, which play a direct role in conception. Fallopian tube pushes its cavity the egg, which moves it to the uterus. Sometimes the pipes become clogged, making it impossible for the promotion of the egg.

The metrosalpingography are designed precisely in order to check the patency of the fallopian tubes. This method of diagnosis enables to establish or exclude the diagnosis of uterine infertility.

MSG is also nominated in order to check the presence or absence of malformations of the uterus and its appendages. This can be the wrong form or size of the body, as well as the presence or absence of the lumen.

If you suspect the presence of submucosal myomas or endometriosis of the uterus, the metrosalpingography also used. It is necessary if you need to confirm the diagnosis of isthmic-cervical insufficiency. It is used to search for intrauterine adhesions.

Important: There is one important reason for the use of MSG which is not related to infertility. Such diagnostics is administered to girls if there is delay in sexual development.

When the metrosalpingography can’t be carried out?

MSG can be carried out not at any time and under any condition. Contraindications to the procedure:

  • confirmed pregnancy or suspicion of successful fertilisation;
  • if in recent times the uterus and fallopian tubes suffered acute infection;
  • the body is fighting an acute inflammatory process, such as intestinal or respiratory infection;
  • Allergy, provoked by the contrast agent;
  • the lack of indicator analysis of cleanness of vagina;
  • if the General and biochemical blood analysis shows the presence of inflammatory process;
  • severe disease associated with the cardiovascular system;
  • any bleeding.

Before you decide to hold the sled, the doctor obligatory checks a patient for the presence of contraindications and assigns the completion of all necessary tests.

Varieties of metrosalpingografii

If the condition does not allow for the usual option of MSG, the doctor may prescribe an ultrasonic metrosalpingography. In order to see the condition of the internal organs in this case, the doctor uses ultrasound, not an x-ray. Instead of the usual substances for contrast using a safe saline solution. The procedure takes the least time.

The most modern method of the study – selective metrosalpingography. He has one significant advantage – ultra-fine conductor with a tube. It allows the contrast agent to get it in those areas that interest the doctor. In particular, this can be the area in the fallopian tubes or in the uterus. This method involves reduced risk of complications and a negative impact on the female body.