What Is Hysterosalpingography
Hysterosalpingography (HSG) is an imaging test that is used to help diagnose and treat uterine conditions. This test can detect polyps as well as fibroid tumors. It also can detect endometriosis and other uterine problems. It can also be helpful in identifying abnormalities of the fallopian tubes.
The test is usually performed by your doctor at a hospital or in a medical laboratory. It usually takes 10 to 30 min. It’s worth asking if your insurance will cover this test.
A thin tube called a “cannula” and a speculum are used to inject dye into the uterus. This dye allows your radiologist (radiologist) to see the inside of your body through Xray pictures.
Your doctor inserts the cannula in your cervix and vagina. You will have to lie on a bed or table while the cannula goes in. The radiologist uses a special type X-ray after the cannula’s been placed to make the images. The radiologist will then watch the dye travel through your uterus and fallopian tubes.
The dye is injected after the radiologist has obtained the best view of the uterus and the fallopian tubes. The dye is filled with water based contrast. Some tests may use oil based contrast.
When the radiologist is watching the dye move through your uterus and fallopian tube, they can identify areas of abnormality that may be causing infertility. This includes a fallopian blockage, scar tissue and adhesions resulting from previous pelvic diseases, surgery or conditions such as hydrosalpinx or endometriosis that can prevent the sperm from reaching the egg.
You may need to undergo additional tests based on the results of your test. These tests might include a pelvic ultrasound, MRI, or another form of diagnostic testing.
You will be required to remove some of your clothing and put on a gown during the HSG. You may need to get a blood test before the test, and you might need some medications to help with any pain or cramping that you might feel while the dye is in your body.
The dye may not be safe for infants. If you are planning on having children, tell your doctor. She will also want to know if there are any allergies you may have to the dye.
Some women may see a slight improvement in their fertility in months following an HSG. But this isn’t guaranteed. It is not known if this is because the dye washes out some debris from your tubes, or if the uterus can take in more fertilisation.
A hysterosalpingogram may be recommended to women who have experienced multiple pregnancy losses, or who are considering trying for a second time after years of unsuccessful attempts. This is a useful tool that your doctor can use as part an overall workup to treat female infertility. This includes hormonal and structural approaches, as well partner-based ones.