Diagnostic pertubation
The device supplies gas in stages with pressure recording: when the pipes are passed through, the pressure drops after 60–90 mm Hg. Art., gas passes into the abdominal cavity (a characteristic pain is felt in the shoulder; ultrasound shows gas in the pelvis); with obstruction, the pressure increases without relief. An antispasmodic is first administered to exclude false obstruction due to tubal spasm. The method is convenient as the first stage of examining a couple and for monitoring after treatment, but does not show which pipe is obstructed and at what level; To plan treatment (tubal surgery or IVF), hysterosalpingography or laparoscopy is necessary.
Indications
- infertility - primary assessment of fallopian tube patency;
- chronic salpingitis, pelvic adhesions - therapeutic hydropertubation with enzymes and anti-inflammatory drugs;
- control after tubal surgery and anti-inflammatory treatment;
- contraindications: inflammation, pregnancy, bleeding, tumors of the uterus and appendages, hydrosalpinx.
Place method
Pertubation is a simple outpatient way to tentatively check the patency of the tubes without radiation and contrast, and hydropertubation with drugs is also a treatment: a solution with enzymes (lidase), antibiotics, hormones washes the tubes from the inside, separates loose adhesions and reduces inflammation, which increases the chance of pregnancy with a mild form of tubal factor. For accurate diagnosis (level of occlusion, condition of each tube), hysterosalpingography, echohysterosalpingoscopy and laparoscopy with chromohydrotubation are used.
