Hysterosalpingogram

A Hysterosalpingogram is a fluoroscopic exam that is typically used to evaluate the fallopian tubes. This exam is most often performed to determine if the fallopian tubes are open or blocked in female patients who are having difficulty in becoming pregnant. The exam is also performed in patients have had their fallopian tubes "tied" or surgically blocked with coils to make sure the tubes are no longer open.

Preparations

This exam is typically performed 10 days from the onset of the patient's last menstrual cycle.

  • Please arrive 15 minutes prior to your exam time.
  • Jewelry, including piercings, must be removed prior to your study. Patients are encouraged to leave all jewelry at home.
  • Wear comfortable two-piece clothing.
  • A pain reliever (avoid aspirin) may be taken two hours prior to the procedure to lessen cramping.

For your safety, please notify our scheduling department and technologists:

  • If you are allergic to CT or X-ray contrast (dye)
  • If you believe you may be pregnant

Patient Experience

Upon completion of your paperwork, the technologist or patient coordinator will take you to the fluoroscopy area/dressing booth to change into a gown. The technologist is specially trained and certified by the American Registry of Radiological Technologists. During your study, you will lie on your back on an examination table. Your legs will be bent with your feet on the outer edges of the table.

A speculum will be inserted into your vagina and a catheter (a thin, flexible plastic tube) will be guided into the uterus through the cervix (the opening to the uterus). A small balloon in the catheter will then be inflated to hold it in place. A liquid water-based dye is injected through the catheter into the uterus. This process may cause cramping/discomfort and minimal spotting/bleeding.

The radiologist performing the exam will be looking for blockages or abnormalities on an X-ray monitor as the dye fills the uterus and fallopian tubes. Some patients experience mild cramping during this procedure. This procedure takes approximately 15-30 minutes.

After The Exam

  • A board certified radiologist will interpret your images and prepare a diagnostic report for your physician.
  • Results are usually made available to your physician in 24 hours.
  • Your physician will determine how the radiologist's report can be used to develop a treatment plan for you and will speak with you about your results.
  • NOTE: Some women experience spotting for one to two days after a hysterosalpingogram. If you experience heavier bleeding please contact your physician.

Further Information

If you would like additional information on this procedure, we recommend visiting the Hysterosalpingogram section of RadiologyInfo.org.

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