Hysterosalpingography, also called uterosalpingography, is an x-ray examination of a woman's uterus and fallopian tubes that uses a special form of x-ray called Fluoroscopy and a contrast material.
Fluoroscopy is a special x-ray technique that makes it possible to see internal organs in motion. During a hysterosalpingogram, the uterus and fallopian tubes are filled With a water-soluble contrast material and the radiologist is able to use fluoroscopy to view and assess their anatomy and function.
Why should I do it ?
The procedure can be used to investigate repeated miscarriages that result from congenital or acquired abnormalities of the uterus and to determine the presence and severity of these abnormalities, including:
Tumor masses
Adhesions
Uterine fibroids
Hysterosalpingography is also used to evaluate the openness of the fallopian tubes, and to monitor the effects of tubal surgery, including:
Blockage of the fallopian tubes due to infection or scarring
Tubal ligation
The closure of the fallopian tubes in a sterilization procedure and a sterilization reversal
The re-opening of the fallopian tubes following a sterilization or disease-related blockage
Any preparations needed?
The hysterosalpingography procedure is best performed one week after menstruation but before ovulation to make certain that you are not pregnant during the Exam.
This procedure should not be performed if you have an active inflammatory condition. You should notify your physician or technologist if you have a chronic Pelvic infection or an untreated sexually transmitted disease at the time of the procedure.
You may be asked to take a laxative or an enema to empty your bowels.
You may be given a mild sedative or over-the-counter medication to minimize any potential discomfort.
You should inform your physician of any medications you are taking and if you have any allergies, especially to barium or iodinated contrast materials.
Inform your doctor about recent illnesses or other medical conditions.
You may be asked to remove some or all of your clothes and to wear a gown during the exam. You may also be asked to remove jewelry, removable dental Appliances, eye glasses and any metal objects or clothing that might interfere with the x-ray images.
Women should always inform their physician and x-ray technologist if there is any possibility that they are pregnant.