Hysterosalpingography

A contrast X-ray examination of the interior of the uterus and fallopian tubes, usually performed to see whether the tubes are blocked or kinked, or to detect irregularities in the shape of the uterine cavity. A catheter (thin tube) is inserted through cervical canal. A solution visible on X-ray is injected throughthe catheter into the uterus, If the tubes are not blocked, the solution passes freely through them and spills out into the pelvic cavity. X-ray pictures are taken as the solution flows 'through the tubes so that the location and extent of any blockage can be studied.

Hysterosalpingography is usually ferformed within several days after the end of a normal period to minimise the risk of its being done during early pregnancy. 'The procedure takes 15 to 30 minutes and often causes some uterine cramps; occasionally pain is felt at the shoulder-tip.

An hysterosalpingography may be done after you have had surgery to repair the uterus or tubes. This procedure will not cure the problem, but it may help your provider discover if you have any problems in the uterus or fallopian tubes and how to treat the problem. Hysterosalpingography should not be performed if you have pelvic inflammatory disease are experiencing unexplained bleeding, or are currently menstruating. Painful monthly periods or heavy bleeding are other reasons to have an hysterosalpingography. The test is usually done as part of an infertility examination.

Purpose

• This test allows the health care provider to see the structures of the uterus and fallopian tubes, and to determine if there are any blockages or other problems.
• Tumor masses or adhesions.
• It can be used to detect tumors, scar tissue, or tears in the lining of the uterus.
• Uterine fibroids.
• This procedure is often used to help diagnose infertility in women.
• Painful menstrual periods.

How to prepare for the test?

• The hysterosalpingography procedure is best performed one week after menstruation but before ovulation to make certain that you are not pregnant during the exam.
• Due to a risk of infection, you will be prescribed antibiotics to take before and after the procedure.
• You may also be asked to remove jewelry, eye glasses and any metal objects or clothing that might interfere with the x-ray images.
• Take a laxative the night before the procedure.
• Inform your health care provider of any allergic reactions to contrast dry you may have had in the past.
• Urinate just before the test.

Precautions

• Women who have had an allergic reaction to dye used in previous x-ray procedures should inform their doctor.
• If an antibiotic has been ordered to prevent infection, take all of the pills that were prescribed.

What the risks are?

• Allergic reaction to the contrast dye.
• There is always a slight chance of cancer from radiation. However, the benefit of an accurate diagnosis far outweighs the risk.
• Fallopian tube infection ( salpingitis ).

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