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
