Is a Hysterosalpingogram Necessary Before Fertility Induction?

1. If there are no issues with the fallopian tubes, a hysterosalpingogram is not necessary before ovulation induction. However, if there are functional problems with the fallopian tubes, a hysterosalpingogram should be done first.

2. Normally, a woman's ovulation cycle is regular, and the hypothalamus, pituitary, and ovarian axis functions are normal. Functional problems anywhere in this system may affect ovulation, leading to abnormal menstruation or infertility. If a woman has no previous issues with the fallopian tubes, such as ovulation abnormalities caused by pituitary or ovarian problems, a hysterosalpingogram is generally not needed before ovulation induction.

3. If suspected ovulation failure is caused by fallopian tube problems, such as inflammation or obstruction, to avoid ectopic pregnancy later, a hysterosalpingogram is needed at this time to ensure the patency of the fallopian tubes. This can then be followed by ovulation induction to improve the pregnancy rate.

4. It is recommended to carefully observe one's symptoms, such as abnormal vaginal discharge, lower abdominal pain, and accessory mass. If any of these are present, medical attention should be sought promptly for comprehensive analysis and diagnosis, followed by treatment based on the results.