Download Fallopian Tube Recanalization information and instructions

Fallopian Tube Recanalization
Patient Information Sheet and Instructions
You and your partner have been trying to conceive but have been unable to do so. You
probably have undergone several tests and examinations for infertility workup and have learned
that there is a blockage in one or both of your fallopian tubes. Now your doctor has referred you
to an Interventional Radiologist for a Fallopian Tube Recanalization, an x-ray procedure in
which a special catheter is used to open fallopian tubes.
We look forward to helping you and hope this information will address any questions or
concerns you may have.
About the Procedure
Your appointment will be scheduled during the follicular phase of your menstrual cycle. This is
the time right after your monthly period when there is no chance that you are pregnant and your
uterus is at its smallest size. The procedure can be performed after your menstrual period,
when you no longer have menstrual bleeding or spotting. The procedure can be done between
the 8th and 14th day after your menstrual cycle starts. The day you start menstrual bleeding is
Day 1 of your menstrual cycle. We recommend that you call our office on Day 1 of your
menstrual cycle to ensure that you are scheduled for your procedure within the
appropriate time frame.
Your procedure will be performed by an Interventional Radiologist at the Advanced Vein and
Vascular Center. The procedure includes a series of wires and catheters that will be gently
guided through the vagina and cervix, into the uterus to the blocked fallopian tube(s). X-ray
contrast material will be injected through one of the catheters to make the uterus and tubes
visible on the x-ray monitor. Sometimes injecting the contrast is enough to clear the blocked
tube. Other times, the doctor may manipulate the catheters and wires to try to pass the
blockage. He can see clearly inside your body because of the x-ray image on the monitor. Xray pictures will be taken at intervals during the exam.
Unlike your prior hysterosalpingogram (HSG), it is uncommon to experience cramping during
the procedure. The medication that you have taken prior to the procedure will significantly
lessen the occurrence of cramping. In any event, rest assured that a staff member will always
be nearby to support and encourage you.
Preparing for Your Procedure



Your doctor will prescribe an antibiotic which will help prevent infection. Begin taking it
at home two days before your procedure. You should continue taking the antibiotic
the day of the procedure and for two days after.
Eat only a light breakfast the morning of the procedure and drink only clear liquids. It is
recommended that you take an over-the-counter NSAID (Ibuprofen 400mg) with
your breakfast. You will be given additional medication prior to the procedure that will
make you sleepy.
SOMEONE MUST BE PRESENT TO DRIVE YOU HOME AFTER THE PROCEDURE.
When You Arrive
Your Nurse or Physician will discuss the procedure with you and administer your medication. It
may take up to one hour for your medication to take effect. Please feel free to bring something
to do or read during that time. Someone will show you to the dressing rooms where you’ll
change into a hospital gown. You may want to leave your personal belongings, especially a
purse or jewelry, with your partner or family member.
After Your Procedure
After the procedure, your partner or family member can visit with you while you rest. When you
feel strong enough, you can get dressed. You can expect some light vaginal bleeding for a day
or so. If you experience any cramping after the procedure, you may take over-the-counter
Ibuprofen. Before you leave, the doctor will review the procedure findings with you and your
partner or family member. You can ask questions or express any concerns you have.
Due to the medication that you receive during the procedure we ask that for your safety
you follow these guidelines for the rest of the day after your procedure.

DO NOT DRIVE

DO NOT USE POTENTIALLY DANGEROUS APPLIANCES OR EQUIPEMENT
(stove, lawnmower, disposal, etc.)

WATCH OUT FOR DIZZINESS
Move slowly and take your time. Sudden position changes can cause nausea

DO NOT MAKE ANY IMPORTANT DECISIONS

DO NOT DRINK ALCOHOLIC BEVERAGES

DISCUSS ANY QUESTIONS YOU MAY HAVE WITH YOUR DOCTOR.

DO NOT EAT IF THERE IS ANY QUESTION OF WHETHER YOU FEEL NAUSEATED
OR SICK. It is probably best to stay on clear liquids and soft foods that day.

ASK YOUR PRIMARY CARE PHYSICIAN ABOUT TAKING OR CONTINUING ANY
MEDICATIONS.
In general, you should be completely recovered from the medication that you receive during the
procedure by the next day and you may resume normal activities.
Fallopian tube recanalization has been successful in a large percentage of patients undergoing
this procedure. To date, no serious complications have resulted from this procedure. The
procedure generally takes less than one hour and often is completed in less than 20 minutes.
The radiation dose to the ovaries is kept to a minimum and during this phase of the menstrual
cycle it does not pose a risk of fetal malformation.
If you feel you are suffering from severe complications related to the procedure,
please call the interventional radiologist on call for our practice at 703-648-8813
and press option “1.”
At home, you should call your gynecologist if you develop a fever, chills, worsening pain,
bleeding lasting more than 2 days, or if you miss your period.
We care about you and hope your fallopian tube recanalization is successful. We will do our
best to make the experience as comfortable for you as possible. Please feel free to contact us if
you have any questions or concerns before or after your procedure.
Advanced Interventional Vein and Vascular Center
4001 Prince William Parkway, Suite 302
Woodbridge, VA 22913
703-824-3228
After-Hours Emergency On-Call Interventional Radiologist: 703-648-8813