Is it normal to have a stomachache after a fallopian tube scan?

It is normal to experience slight stomach pain after a fallopian tube angiogram, which is usually related to contrast agent stimulation or the procedure. If the pain continues to worsen or is accompanied by fever, abnormal bleeding, etc., you need to be alert to infection or other complications.

Salpingography is an invasive gynecological examination. Catheter insertion and contrast agent injection may cause uterine contractions and fallopian tube spasm, which may manifest as a dull pain or swelling in the lower abdomen, which usually resolves on its own in 1-2 days. Appropriate heat compresses and avoiding strenuous exercise after surgery can help reduce discomfort. Some patients who are sensitive to contrast agents may experience transient pelvic congestion, and the degree of pain is related to individual tolerance.

If the pain does not relieve for more than 3 days, or symptoms such as body temperature exceeding 38 degrees Celsius, heavy vaginal bleeding, purulent discharge, etc. may be related to postoperative infection, fallopian tube injury, or contrast agent allergy. At this time, complications such as pelvic inflammatory disease and fallopian tube perforation need to be ruled out, especially for patients with a history of chronic pelvic inflammatory disease or long operation times, which are at higher risk. Acute severe abdominal pain with signs of shock requires emergency treatment and may indicate contrast extravasation or vasovagal reflex.

The perineum should be kept clean after surgery, and sexual intercourse and bathing should be prohibited within 2 weeks. When observing changes in pain, pay attention to whether it is accompanied by abnormal symptoms such as nausea, vomiting, and anal swelling. Using preventive antibiotics as directed by your doctor can reduce the probability of infection, but it is forbidden to take painkillers to cover up the condition. It is recommended to perform angiography examination 3-7 days after menstruation, which can reduce the pain caused by endometrial stimulation. A follow-up ultrasound is performed 1 month after the operation to evaluate the pelvic condition. Those planning pregnancy need to make follow-up plans based on the imaging results.