Hysterosalpingography is a special x-ray using dye to look at the womb (uterus) and fallopian tubes.
This test is done in a radiology department. You will lie on a table beneath an x-ray machine. You will place your feet in stirrups, like you do during a pelvic exam. A tool called a speculum is placed into the vagina.
After the cervix is cleaned, the health care provider places a thin tube (catheter) through the cervix. Dye, called contrast, flows through this tube, filling the womb and fallopian tubes. X-rays are taken. The dye makes these areas easier to see on x-rays .
Your doctor may give you antibiotics to take before and after the test. This helps prevent infections. You may also be given medicines to take the day of the procedure to help you relax.
The test will often be scheduled a few days or week after you start your period to make sure you are not pregnant. Doing it at this time also reduces the risk for infection.
Tell your doctor or nurse if you have had an allergic reaction to contrast dye before.
You can eat and drink normally before the test.
You may have some discomfort when the speculum is inserted into the vagina. This is similar to a pelvic exam with a Pap smear.
Some women have cramps during or after the test, like those you may get during your period.
You may have some pain if the dye leaks out of the tubes, or if the tubes are blocked.
This test is done to check for blockages in your fallopian tubes or other problems in the womb and tubes. It is often done as part of an infertility examination. It may also be done after you have your tubes tied to confirm that the tubes are fully blocked.
A normal result means everything looks normal. There are no defects.
Note: Normal value ranges may vary slightly among different laboratories. Talk to your doctor about the meaning of your specific test results.
Abnormal results may be due to:
After the test, report any signs or symptoms of infection to your health care provider immediately. These include foul-smelling vaginal discharge, pain, or fever.
HSG; Uterosalpingography; Hysterogram; Uterotubography
Updated by: David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc. and Susan Storck, MD, FACOG, Chief, Eastside Department of Obstetrics and Gynecology, Group Health Cooperative of Puget Sound, Redmond, Washington; Clinical Teaching Faculty, Department of Obstetrics and Gynecology, University of Washington School of Medicine.
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