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FAQ's
Que : X-RAY HSG
Ans :

(HSG) Hysterosalpingography: The procedure involves X-rays. It should be done in the follicular phase of the cycle. It is contraindicated in pregnancy. It investigate the shape of the uterine cavity and the shape and patency of the fallopian tubes. It entails the injection into the cervical canal and usually fluoroscopy with image intensification. A normal result shows the filling of the uterine cavity and the bilateral filling of the fallopian tube with the injection material. 

What is the procedure

The procedure involves X-rays. It should be done in the follicular phase of the cycle. It is contraindicated in pregnancy.

It is useful to diagnose uterine malformations, Asherman’s syndrome, tubal occlusion and used extensively in the work-up of infertile women. It has been claimed that pregnancy rates are increased in a cycle when an HSG has been performed. Using catheters, an interventional radiologist can open tubes that are proximally occluded.

The test is usually done with radiographic contrast medium (dye) injected into the uterine cavity through the vagina and cervix. If the fallopian tubes are open the contrast medium will fill the tubes and spill out into the abdominal cavity. It can be determined whether the fallopian tubes are open or blocked and whether the blockage is located at the junction of the tube and the uterus (proximal) or whether it is at the end of the fallopian tube (distal).

The HSG can be painful, so analgesics may be administered before and/or after the procedure to reduce pain. Many doctors will also prescribe an antibiotic prior to the procedure to reduce the risk of an infection.

When it is done :

The HSG is usually performed after you have undergone a full menstrual cycle in order to minimize the interference or loss of an unknown pregnancy conceived in a prior cycle. Any irregularity in the timing of your menstrual flow or its character (i.e. amount, length, or type of flow) should be reported before you come in for your HSG, or to the physician before the HSG is begun. More importantly, if you have had pelvic pain, fever or vaginal discharge, please report this before the procedure.

Light vaginal bleeding or spotting for 1 - 2 days after the HSG is common.

On : Thu, 17 Oct 2013

Que : PLACENTAL DOPPLER
Ans :

A Doppler scan can be performed at the same time as a normal ultrasound and uses the same equipment. Most modern ultrasounds have a Doppler function.

What is a Placental Doppler scan. HOW IT PERFORMED?

A Doppler scan checks that enough blood carrying oxygen and nutrients is reaching your baby. Your sonographer looks at the elasticity of the arteries in your systems that carry blood into the placenta. Doppler function. Screen images in 3D and 4D show how your blood is flowing, and the machine analyses this. It takes just a few minutes during your ultrasound scan. The walls of your umbilical arteries should be stretchy enough to allow as much blood through as possible. This is called low resistance. If the blood can not get through to the placenta easily enough, your baby may not get the nutrients and oxygen he needs via the umbilical cord.

Without enough nutrients and oxygen, your baby would not grow as well as he should.

Factors such as smoking, high blood pressure, hormone levels or certain medications may increase the resistance in your artery walls.

WHEN IT IS REQUIRED

You may need a Doppler scan if you need extra care during your pregnancy, for example:

  • If your carrying twins sharing a placenta.
  • If your baby is affected by rehesus antibodies
  • If your baby is affected by parvovirus.
  • If your baby is not growing at the rate he should be.

If your baby is small for dates, a Doppler scan can be used to see if the placenta is working normally. It does this by tracing the blood flow between the placenta and your baby through the umbilical cord.

If this is the case, you may be advised to give birth early. It is a different picture if you just happen to be carrying a small baby. A small baby with a normal blood flow via the umbilical cord is probably getting all the nutrients he needs.

 

On : Thu, 17 Oct 2013

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FAQ's

Que : X-RAY HSG

Ans : (HSG) Hysterosalpingography: The procedure involves X-rays. It should be done in the follicular phase of the cycle. It is contraindicated in pregnancy. It investigate the shape of the uterine cavity a More..

Que : PLACENTAL DOPPLER

Ans : A Doppler scan can be performed at the same time as a normal ultrasound and uses the same equipment. Most modern ultrasounds have a Doppler function. What is a Placental Doppler scan. HOW IT PERFORM More..

Que : Fetal echocardiography

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