What is Hysterosalpingography?

·  Hysterosalpingography (HSG) is an x-ray examination of a woman's uterus and fallopian tubes using a special form of combined x ray and water soluble contrast.

·  During a hysterosalpingogram, the uterus and fallopian tubes are filled with a water-soluble contrast material and the radiologist is able to view and assess their anatomy and function.

Why should I do it?

In cases of repeated miscarriage/ 1ry or 2ry infertility, to assess:
1-    Congenital and acquired uterine anomalies and their severity.
2-    Uterine fibroids.
3-    Uterine adhesions.
4-    Tumoral masses (uterine or pelvic).
5-    Fallopian tubes patency (and possibility of related adhesions).

Any preparations needed?

·  The hysterosalpingography procedure is best performed from day 7-10 after start of menstruation but before ovulation to make certain that you are not pregnant during the Exam.

·  Prevent intercourse 3 days before the examination.

·  You are informed to take an anti-spasmotic and analgesic medication before the study.

·  You should notify your physician if you have a chronic pelvic infection or an untreated sexually transmitted disease at the time of the procedure.

·  You should inform your physician of any medications you are taking and if you have any allergies, especially to contrast materials.

·  Inform your doctor about recent illnesses or other medical conditions.

·  You may be asked to remove some of your clothes and to wear a gown during the exam. You may also be asked to remove jewelry and any metal objects or clothing that might interfere with the x-ray images.

·  Women should always inform their physician if there is any possibility that they are pregnant.