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What is Fallopian Tube Recanalization?
Your healthcare provider has requested that you undergo a fallopian tube recanalization. You likely had a prior hysterosalpingogram (HSG) showing a blockage in either one or both of your fallopian tubes. During this procedure, a wire will be passed into the blocked fallopian tube in an attempt to resolve the obstruction.
How Should I Prepare?
You should not eat or drink anything for six hours prior to your procedure. You may take your medications as directed. Speak to your doctor if you need to adjust your insulin dosing. Prior to your procedure, you should make sure all medications and allergies are updated. If you are on a blood thinner you may be requested to stop that medication for a period of time. You will want to arrange for a ride home from a responsible adult afterwards should you require sedation.
How is the Procedure Performed?
The procedure will be performed by an interventional radiologist, who is a physician with specific training in image-guided procedures. The procedure will be performed under fluoroscopy (x-ray). Intravenous medications may be given to make you more comfortable and relaxed. This is called conscious sedation.
To begin, a speculum is inserted into the vagina similar to a routine pelvic exam. A small tube (catheter) will then be placed into the opening of the cervix. Dye is injected and x-ray pictures are taken to show whether the fallopian tubes are blocked. A small wire is then advanced through a blocked tube in an attempt to open it. The wire and speculum are then removed. The x-ray dye is clear and will naturally flow out of the vagina.
What should I expect after the procedure?
Following the procedure, you will be monitored for a period of time for any complications. It is normal to have a small amount of bleeding and vaginal discharge for a day or two following the procedure.