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女性剛做完宮腔鏡檢查后多久可以同房？

出處：網(wǎng)絡收集 日期：2024-06-22 10:24:05 編輯：秩名

宮腔鏡檢查多久能同房

患者們應該了解的是宮腔鏡檢查指的是把檢查鏡從陰道伸入宮腔當中，通過鏡頭可以對宮腔的環(huán)境做出直觀的了解，是一種微創(chuàng)性的診療技術(shù)。宮腔鏡檢查之后是不能立即同房的，那么宮腔鏡檢查做完之后多久才能同房呢？
 
宮腔鏡檢查最好是在月經(jīng)周期結(jié)束并徹底干凈后的3到7天內(nèi)進行，如果除了月經(jīng)之外患者本身有不規(guī)則出血的現(xiàn)象，應該在止血之后再進行宮腔鏡檢查。腹腔鏡檢查患者一般不會感覺到疼痛，但是有的患者特別敏感，我非常擔心會疼，這種情況下可以進行局部麻醉，再行宮腔鏡檢查。如果是選擇這種無痛的宮腔鏡檢查，患者至少應在檢查之前的六個小時之前就禁食禁水。宮腔鏡檢查之后一般不需要服用任何藥物，如果患者情況特殊，可以在醫(yī)生的指導下適當?shù)氖褂每股亍?/div>
 
宮腔鏡檢查后的一個月內(nèi)應禁止性生活，同時應禁止盆浴。宮腔鏡檢查之后，陰道內(nèi)有少量的出血現(xiàn)象，部分患者的下腹還會有輕微的不適感，這些都是正常的。但是如果陰道出血量多，就像是月經(jīng)的血量或者是超過月經(jīng)的量、腹部疼痛的感覺非常明顯這時必須盡快和檢查醫(yī)生取得聯(lián)系，并去醫(yī)院做進一步的診斷。
 

哪些人需要做宮腔鏡檢查

女性如果想要成功受孕必須具備兩大條件，一個是優(yōu)質(zhì)的胚胎，另一個就是優(yōu)質(zhì)的宮腔環(huán)境。把不良的宮腔環(huán)境加以改善，增加子宮內(nèi)膜的容受性讓胚胎可以順利著床，是很多醫(yī)生在治療宮腔疾病時的目標之一。在臨床上，現(xiàn)在宮腔鏡檢查的準確性之高，完全可以被稱為宮內(nèi)疾病檢查的“金標準”。宮腔鏡檢查的適應癥廣泛，所以有很多患者都非常適合做宮腔鏡檢查。
 
女性如果在絕經(jīng)之前，或者是絕經(jīng)之后那時候子宮異常出血的現(xiàn)象，這時可以使用宮腔鏡檢查來區(qū)別出血原因，宮腔鏡檢查可以準確的檢查出出血原因。女性如果懷孕困難，流產(chǎn)、或者是反復流產(chǎn)，通過宮腔鏡檢查探尋宮內(nèi)因素，可找到引起上列病癥的原因。宮腔鏡檢查還可以對子宮輸卵管碘油造影、B超等等這些檢查當中出現(xiàn)的異常宮腔回聲做出更精確更進一步的診斷。
 
腹腔鏡檢查經(jīng)常用于術(shù)前的手術(shù)評估，術(shù)前觀察宮腔內(nèi)的環(huán)境，可以直接決定能否從宮頸內(nèi)取出病變組織。女性宮內(nèi)如果放置了節(jié)育器，通過宮腔鏡，觀察到節(jié)育器在宮內(nèi)是否正常位置有沒有發(fā)生改變，有沒有造成患者穿孔等等。宮腔鏡檢查還可以對子宮內(nèi)膜癌，以及頸管癌作出早期診斷。
 

宮腔鏡檢查有禁忌癥嗎

宮腔鏡檢查雖然簡便，快捷，準確性高，檢查的適應癥也比較廣泛，但是如果患者的身體存在以下這些特殊情況則不適合做宮腔鏡檢查。
 
患有盆腔感染的女性，不適宜做宮腔鏡檢查，如果患者在之前知情應該提前告知檢查醫(yī)生；子宮有大量出血現(xiàn)象患者，已經(jīng)懷孕并且想繼續(xù)妊娠的女性這兩種情況也不能做宮腔鏡檢查；如果在宮腔鏡檢查前期發(fā)生過子宮穿孔，是不能做宮腔鏡檢查的；本身是一位固定的子宮后傾有這種特殊現(xiàn)象的女性，包括宮腔十分狹窄，宮頸因為過硬難以擴張的女性；子宮頸內(nèi)存在巨大的子宮肌瘤的女性；身體患有其他的嚴重內(nèi)科疾病的女性；對膨?qū)m操作耐受度低的女性；生殖道存在結(jié)核，但是沒有進行過治療的女性；患有浸潤性宮頸癌的女性。
 
以上這些情況都是不適合做宮腔鏡檢查的患者，如果必須要做宮腔鏡檢查還需慎重進行，否則很容易給患者造成一些二次傷害。
 

宮腔鏡檢查有后遺癥嗎

宮腔鏡技術(shù)在近些年來發(fā)展迅猛，由于很多人都知道宮腔鏡檢查宮腔鏡手術(shù)是一種效率極高疾病治療方式，所以現(xiàn)在大大小小的醫(yī)院，基本上都會有宮腔鏡診療技術(shù)。宮腔鏡技術(shù)這樣快速的崛起，很多人都心存疑慮，經(jīng)常會考慮的一個問題就是做完宮腔鏡檢查會不會有后遺癥呢？
 
這是宮腔鏡檢查雖然技術(shù)先進，檢查準確度高，但它也不是萬能的，畢竟是在宮腔內(nèi)進行操作，如果消毒不嚴格，可能會引起宮腔感染，引起宮腔已經(jīng)宮頸的黏連。其實這種情況多發(fā)生于一些不正規(guī)的小醫(yī)院，患者在做宮腔鏡檢查時選擇正規(guī)的大醫(yī)院進行，一般來說，大醫(yī)院都會對器械嚴格消毒流程嚴謹，可以很大程度上避免感染的發(fā)生。另外宮腔鏡檢查之后，有少數(shù)患者會發(fā)生月經(jīng)紊亂的情況，這種情況大約在1到2個月經(jīng)周期后都可以回到正軌。
 
本來說患者如果能夠在正規(guī)的醫(yī)院進行宮腔鏡檢查，風險是比較小的。但是因為一些宮腔鏡檢查是屬于有創(chuàng)檢查，所以難免會有感染的風險，這也是所謂宮腔鏡檢查后遺癥的由來。
 

宮腔鏡檢查有助于懷孕嗎

如果是患有不孕癥的女性，幾乎百分之百的患者都需要做宮腔鏡檢查，因此足以可見宮腔鏡檢查對于不孕癥患者的重要性。
 
使用宮腔鏡檢查，首先可以確定子宮的環(huán)境是否適合受精卵著床，是否適合胚胎的成長發(fā)育。如果我們把子宮比喻成搖籃，媽媽再把寶寶放進搖籃之前還需要做什么呢？肯定是要先檢查搖籃的安全性，搖籃掛的夠不夠結(jié)實？會不會存在誤傷寶寶的可能，然后在給搖籃鋪上柔軟的被子，讓寶寶在搖籃里可以安睡。宮腔鏡檢查實際上就是為了檢查宮腔內(nèi)的環(huán)境，判斷出宮腔內(nèi)有沒有危及到受精卵著床以及發(fā)育的因素。
 
通過宮腔鏡檢查，可以清晰的觀察到子宮內(nèi)的環(huán)境，一些非常小的病變病灶也可以及時找出，在找到問題的原因之后及時進行處理就可以把可能會傷害到寶寶的各種因素以前屏蔽，很多在傳統(tǒng)超聲檢查中會被漏診的小問題。在宮腔鏡下都是無處遁形，所以宮腔鏡檢查是絕對有助于懷孕的。

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