Hysterosalpingography

By:  Dr. Umesh N Jindal On:  May 30, 2016 8:52 AM
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Definition: Imaging of the uterus and the fallopian tubes with the help of X-ray after instilling radio opaque contrast in the uterus. Commonly called colored X-ray of the uterus.

Uses:

Hysterosalpingography (HSG) though apparently a simple technique, can provide valuable insight into the uterine and tubal factors of infertility. Precision and following correct technique help in providing good quality HSG films.

Procedures:

HSG is performed between menstrual cycle days 6 and 11. It should not be done near ovulation or in the presence of pelvic infection. The procedure is best performed using fluoroscopy or image intensifier. A pain killer given half an hour prior to the procedure minimizes cramping and discomfort. The dye is injected in the uterus and tubes under image guidance and X-ray plates are taken.

Advantages:

  • Simple.
  • Costs about 2200-2500 rupees.
  • Gives good information.
  • Increases expertise and good equipment.
  • Increases chances of pregnancy

Disadvantages:

  • Needs expertise and good equipment.
  • Inconclusive reports are quite common.
  • Painful.
  • May need laparoscopy to confirm findings