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Why Is There Vaginal Bleeding After Hysterosalpingography?

Hysterosalpingography is one of the widely used methods in the clinic to check whether there is a tubal blockage in the fallopian tubes. HSG by X-ray injects a contrast agent into the uterine cavity and fallopian tube through a catheter, and the doctors will use X-ray diagnostic equipment for X-ray fluoroscopy and photography. Then they can confirm the obstructed position and the shape of the uterine cavity according to the development of the contrast agent in the fallopian tube and pelvic cavity.

Although HSG does not cause significant harm to women, it is an external stimulus to women's endometrium, which can cause vaginal bleeding. Vaginal bleeding is a normal phenomenon after HSG. It usually disappears within seven days without any harm to women's body. In the face of such a phenomenon, patients generally do not need to take any treatment measures, and you do not need to take hemostatic drugs.
However, if the bleeding lasts more than seven days, the following situations may occur at this time: infection and serious endocrine disorders. In such cases, it is recommended to go to the hospital in time for examination and treatment.
What should we pay attention to before and after HSG?
1. Before HSG, women should first find out whether there is inflammation in the genital tract, like vaginitis, cervicitis, etc. If there is gynecological inflammation, you should first treat it, and you can choose the herbal medicine Fuyan Pill to treat it. After the inflammation is controlled, you can perform HSG. Sexual intercourse and tub bathing are prohibited during the treatment.
2. Adjust the time of HSG: 3-7 days after menstruation is the best if the time of examination is too early, the endometrium has not been completely repaired, the gas or oil in the examination may enter the blood sinus and form embolism. It may also push the residual blood in the uterine cavity into the fallopian tube and then fall into the abdominal cavity. 
It can cause infection or endometriosis. If the endometrium is hypertrophic after ovulation, it is easy to cause false obstruction of the oviduct orifice; at the same time, the endometrium is abraded by the catheter-like instruments that intervene in the uterine cavity, which is easy to cause intraoperative and postoperative uterine bleeding.
3. Sexual intercourse should be forbidden for two weeks after HSG, and antibiotics should be given as appropriate to prevent infection.
4. From the point of view of better births and childbearing, it is better to use contraception for three months in order to avoid the influence of X-ray on the fetus.
5. After angiography, only one interventional examination can be done in one menstrual cycle. At the same time, attention should be paid to tightening the cervical opening, preventing leakage, spills, etc. in order to avoid affecting the results of the examination.

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