Posts for: March, 2018
Are you having difficulty getting pregnant? Does your OBGYN believe that a fallopian tube obstruction could be to blame? If so, then chances are good that you’ll have to undergo a diagnostic test known as selective salpingography to determine the health of the fallopian tubes and to determine if there are any blockages.
Once a month an egg is released from the ovaries during ovulation. Once the egg is released it moves from the ovary through the fallopian tubes; however, if there is a blockage within the fallopian tubes the egg cannot get to the uterus. If there is only a partial blockage, it could lead to an ectopic pregnancy (a serious condition in which the egg is fertilized within the fallopian tubes).
Due to the seriousness of this condition, it’s important that we determine if a blocked fallopian tube is the root cause so that we can treat the problem right away. During a selective salpingography a small catheter is inserted and guided into the entrance of the fallopian tube with help from an X-ray. Once the catheter is at the opening of the tube, a special dye is injected into it.
If there is no blockage, the dye will successfully travel the length of the fallopian tube, but if there is a blockage the gel will be blocked (which your gynecologist will be able to detect on the X-ray machine). In some cases, the obstruction can be opened during this diagnostic procedure; however, it isn’t always possible. Your OBGYN will be able to determine if the obstruction is something that can be treated right now or if this will require a separate procedure.
In many instances, a blockage may be the result of a muscle spasm, which is not considered serious and can easily be treated. Of course, there are other reasons why you may be faced with an obstructed fallopian tube including uterine fibroids, pelvic inflammatory disease, chlamydia or endometriosis. Sometimes an obstruction can even occur as a complication of abdominal surgery.
A fallopian tube obstruction doesn’t produce any symptoms so the best way to tell whether this condition is affecting your ability to conceive is to visit your OBGYN for an evaluation right away.
Coming in to see your OBGYN once a year is an important part of every woman’s health. Even if you aren’t experiencing symptoms these examinations could prevent issues from happening and can allow your doctor to detect problems early on when problems are often much easier to treat. If we detect any suspicious growths or other symptoms during your pelvic examination then we may recommend getting a biopsy. There are different diagnostic biopsies that we may recommend depending on the symptoms and issues you are experiencing.
This biopsy is often performed if a Pap test or other diagnostic test detected abnormal cells in the cervix. In some cases, if you’ve been diagnosed with human papillomavirus (HPV) you may also require a cervical biopsy since some types of HPV can cause cervical cancer. A cervical biopsy may also help determine if the abnormal cells are potentially precancerous.
There are a few different ways that a cervical biopsy can be performed. Of course, no matter what technique is used, a cervical biopsy will need to remove a sample of the abnormal tissue for testing. Cervical biopsies are performed by a punch, cone or endocervical curettage method.
Just like a cervical biopsy removes a sample of tissue from the cervix, this specific biopsy will remove a sample from the endometrium (the lining of the uterus). This biopsy may also be one way that your gynecologist can check hormone levels that can affect the health of your endometrium. This type of biopsy may also be recommended if you are experiencing irregular, heavy or long-term bleeding and aren’t sure of the cause.
This procedure is a great way for your OBGYN to check the health of your cervix, vagina, and vulva to look for any signs or symptoms of the disease. Just like with a cervical biopsy, a colposcopy may be recommended if your Pap test came back abnormal. During your colposcopy, a small sample of tissue will be removed and examined. This diagnostic procedure is a great way to detect and diagnose certain issues such as cervicitis (inflammation of the cervix), precancerous tissue or genital warts.
If you have questions about your upcoming biopsy or if you are experiencing any symptoms or changes then it’s time you visited an OBGYN who can help you.