What is Hysterosalpingography?

Hysterosalpingography is a procedure where x-rays are taken of a woman’s reproductive tract after a contrast is injected.  Hystero means uterus and salpingo means tubes, so hysterosalpingography literally means to take pictures of the uterus and fallopian tubes.  This procedure may also be called hysterography (or HSG).

Hysterosalpingography is used to determine if the fallopian tubes are open, or if there are any apparent abnormalities or defects in the uterus.  It can be used to detect tumors, scar tissue, or tears in the lining of the uterus.  This procedure is often used to help diagnose infertility in women.  The fallopian tubes are the location where an egg from the ovary joins with sperm to produce a fertilized ovum.

What will the exam be like?

Once you arrive at the imaging department you will be asked to remove clothing from the waist down and put on a gown.  You will then lie on the examination table.  A Radiologic Technologist will take a preliminary x-ray of your pelvic area.

Your Physician will insert a speculum into the vagina and a catheter (a thin tube) is inserted into the uterus through the cervix (the opening to the uterus).  A small balloon in the catheter is inflated to hold it in place.  A contrast is then injected through the catheter into the uterus.  This process can cause cramping, pain, and uterine spasms.

As the dye spreads through the reproductive tract, the doctor may watch for blockages or abnormalities on an x-ray monitor.  Several x-rays will also be taken.

How do I prepare for the exam?

The procedure should be scheduled 7-10 days after the end of your menstrual cycle.  All bleeding should have ceased.

You will be informed of what to do to prepare for your exam when you make your appointment.

How long will the exam take?

The procedure takes approximately 30 minutes.

Following the exam:

After the procedure you will be given a sanitary napkin to wear to absorb the contrast that will flow out through the vaginal opening.  You may experience cramping following the procedure.

Exam results:

A Radiologist will study the images and a typed report will be sent to your designated health care provider.

Special note:

If you should have any questions regarding this procedure, please call 815-942-2932 ext. 7130.

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