Tubal Disease Flashcards
1
Q
When in the cycle is a hysterosalpingogram performed?
A
During the first 10 days
2
Q
Who should get a hysterosalpingogram?
A
Everyone presenting with infertility with no known risk factors
3
Q
Who should get a laparoscopic investigation?
A
Those with known risk factors eg
- PID
- Endometriosis
- Known previous pathology eg ectopic pregnancy, ruptured appendix, endometriosis
- Previously abnormal HSG
- History suggestive of pathology eg dysmenorrhoea, dyspareunia
4
Q
What investigation might be useful if there has been previous pelvic surgery?
A
HyCoSy
5
Q
When would you perform a hysteroscopy?
A
In cases where there is suspected or known endometrial pathology for example uterine septum, adhesions of polyps.
6
Q
What does the success of tubal surgery depend on?
A
- Amount of healthy tube
- Whether proximal or distal disease
- Condition of the tubal wall
- Presence of adhesions.
7
Q
What surgical treatment can be offered where there is blocked ovarian tubes?
A
Selective salpingiography and tubal cannulation
