This is the next step that sometimes takes decades for many couples who will check the tubes with unhealthy ardour any number of times in a variety of ways. Today there are 3 methods available allowing you to check the permeability of the fallopian tubes: laparoscopy, hysterosalpingography and sonohysterosalpingography. The terms are bulky and obscure, yet each of these investigations has a very clear role assigned to it. Thus, if we need to check the fallopian tubes, following a consultation and examination we (the doctors) will divide you into two groups:
- If you tell us nothing about the previous sexually transmitted infections (chlamydiosis, trichomoniasis, gonorrhea), if you have never had any operations on the pelvic organs, if you have no symptoms suggesting endometriosis, we will advise you to undergo sono-HSG or HSG. This will suffice to understand whether the fallopian tubes are permeable and to plan further treatment;
- If you have experienced all the above mentioned or if after US of the pelvic organs we suspect a hydrosalpinx, be ready that you will have to go onto a surgical table to undergo diagnostic laparoscopy. In this case, this surgery will not only enable us to see the condition of the tubes but will also inform us on the absence or presence of external genital endometriosis as well as allow us to evaluate the severity of an adhesive process and to remove the fallopian tube with pathological changes if needed.