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What is Hysterosalpingography?

A hysterosalpingography is an X-ray that is helpful in the examination of the uterus and fallopian tubes.  The uterus and fallopian tubes are readily visible on the X-ray photos because of the contrast material used in this form of X-ray. The X-ray utilized is known as fluoroscopy, and it produces a video image rather than a static image.

The dye can be tracked as it passes through your reproductive system by the radiologist. They’ll be able to see if your fallopian tubes are blocked or if your uterus has any structural issues. Uterosalpingography is another name for hysterosalpingography.

Why Is the Test Ordered?

If you’re having trouble getting pregnant or have had previous pregnancy issues, such as multiple miscarriages, your doctor may recommend this test. Infertility can be diagnosed with hysterosalpingography. Infertility can be caused by a variety of factors, including:

  • blockage of the fallopian tubes
  • scar tissue in the uterus
  • uterine fibroids
  • uterine tumors or polyps

Your doctor may prescribe hysterosalpingography if you’ve had tubal surgery to ensure that the procedure was successful. Your doctor may order this test if you have a tubal ligation (a treatment that closes the fallopian tubes) to confirm that they are correctly closed. The test can also be used to see if reversing a tubal ligation and reopening the fallopian tubes was successful.

What Happens During the Test?

You’ll need to put on a hospital gown and lie down on your back with your knees bent and your feet spread, just like you would for a pelvic examination. A speculum will next be inserted into your vagina by the radiologist. This is done to allow visibility of the cervix, which is located at the back of the vagina. You could feel a little uneasy.

The radiologist will next clean the cervix and possibly inject a topical anesthetic to relieve pain. The injection may feel like a pinch. After that, the speculum will be removed and a cannula will be introduced into the cervix. Through the cannula, the radiologist will inject dye into your uterus and fallopian tubes, which will run into your uterus and fallopian tubes.

The radiologist will next place you under the X-ray machine and begin taking X-rays. The radiologist may urge you to shift postures many times so that new viewpoints can be captured. As the dye passes through your fallopian tubes, you may experience pain and cramping. The radiologist will remove the cannula after the X-rays have been taken. You’ll then be released after receiving any necessary pain or infection-prevention drugs.

What Happens After the Test?

You may suffer cramping comparable to those seen during a menstrual period after the test. It’s also possible that you’ll have vaginal discharge or minor vaginal bleeding. To avoid infection, use a pad instead of a tampon during this period. 

Following the test, some women report dizziness and nausea. These are common adverse effects that will fade over time.

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