Hysterosalpingogram (uterus & fallopian tubes)
Hysterosalpingography, also called uterosalpingography, is an x-ray examination of a woman’s uterus and fallopian tubes that uses a special form of x-ray called fluoroscopy and a contrast material.
An x-ray (radiograph) is a noninvasive medical test that helps physicians diagnose and treat medical conditions. Imaging with x-rays involves exposing a part of the body to a small dose of ionizing radiation to produce pictures of the inside of the body. X-rays are the oldest and most frequently used form of medical imaging.
Fluoroscopy is a special x-ray technique that makes it possible to see internal organs in motion. When the uterus and fallopian tubes are filled with a water-soluble contrast material, the radiologist is able to view and assess their anatomy and function.
You will be required to have a pregnancy test within 48 hours of your appointment. This test is scheduled between the 7th and 10th day of your menstrual cycle.
Once you arrive, you may be asked to change into a gown before your examination. You may also need to remove jewelry, eyeglasses and any metal objects that could obscure the images.
You should tell your technologist about any recent illnesses or other medical conditions, as well as any allergies you might have to medications.
A technologist will position you on the fluoroscopy table and into stirrups similar to a gynecologist office. A radiologist will insert a small catheter through the cervical opening and into the uterus. A small balloon is inflated to hold the catheter in place. The contract materials will then be injected through the catheter under fluoroscopic guidance. Some women experience mild cramping or discomfort during this procedure. It is common to have mild vaginal spotting for a few days following the procedure.