![]() ![]() Mild period like cramping should be expected. The Tubal Patency Assessment is a safe and effective test to examine patency of the fallopian tubes. The fee charged is for the ultrasound, contrast agent and catheter.Ī Medicare rebate is available for part of this test. Some women have a very sensitive cervix and are prone to cervical shock if this is known about in advance it is a contra-indication to the test. This could be due to tubal spasm or rarely due to cervical shock. Very occasionally a woman may experience severe pain and faintness. If you continue to experience significant discomfort or bleeding more than 24 hours after the test you should contact your referring doctor as there is a small chance of infection. You will be given a sanitary pad to wear for the rest of the day as there will be a small leakage of fluid from the vagina. You may experience some mild crampy, period like discomfort after the test which could last for up to 1 hour. You can resume normal activity as soon as you leave the clinic, including returning to work. Please allow for about an hour at the practice. It is best if you can stay for 15 to 20 minutes after the test in case of cramping. The vaginal ultrasound examination and Tubal Patency Assessment will take about 20 minutes. Your partner or support person may attend if you wish. Mild analgesic tablets such as Naprogesic or Panadol about 30 minutes prior to the test can be helpful as period type cramping can occur. The test will not be performed where there is risk of potential pregnancy e.g. The best time is between day 5 and 12 of the menstrual cycle – before ovulation. Rarely, the catheter cannot be inserted into the cervix and the test is abandoned. Our doctor will be able to determine whether the tubes are patent and will inform you straight away. As the contrast fluid is injected, ultrasound follows its progress along the tubes. The speculum is removed and the ultrasound probe is reinserted into the vagina. Once in place, a small balloon at the tip of the catheter is inflated to keep it in place. At this time you may experience a period like discomfort. A thin catheter is then passed through the cervix into the uterine cavity. The cervix is cleansed with antiseptic solution. A speculum is passed into the vagina, as in a PAP smear. ![]() Once the ultrasound is completed, the equipment and contrast is prepared. In this case, your doctor will be contacted to discuss the findings and tubal assessment may be deferred. ![]() Sometimes abnormal findings, such as polyps, endometriosis or fibroids, point to problems where surgery may be considered. Our doctors will check for any abnormalities that may be relevant to your fertility or future pregnancies. What happens on the day?Ī vaginal ultrasound examination is performed. It is a suspension of hydroxyethylcellulose, glycerol and purified water. Vaginal ultrasound examination is used to visualise the contrast as it passes along the tubes and spills out around the ovaries.Ī special ultrasound contrast agent is used. A fine catheter is inserted into the uterus to allow for the contrast fluid to flow into the tubes. ![]()
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