Medical Encyclopedia

 

Medical Encyclopedia

Other encyclopedia topics:  A-Ag  Ah-Ap  Aq-Az  B-Bk  Bl-Bz  C-Cg  Ch-Co  Cp-Cz  D-Di  Dj-Dz  E-Ep  Eq-Ez  F  G  H-Hf  Hg-Hz  I-In  Io-Iz  J  K  L-Ln  Lo-Lz  M-Mf  Mg-Mz  N  O  P-Pl  Pm-Pz  Q  R  S-Sh  Si-Sp  Sq-Sz  T-Tn  To-Tz  U  V  W  X  Y  Z  0-9 

Hysterosalpingography

Contents of this page:

Illustrations

Uterus
Uterus

Alternative Names    Return to top

HSG; Uterosalpingography; Hysterogram; Uterotubography

Definition    Return to top

Hysterosalpingography is an x-ray of the uterus and fallopian tubes that involves the injection of contrast (dye) through the cervix.

How the Test is Performed    Return to top

The exam takes place in a radiology department using an overhead x-ray machine. You will lie on a table beneath the x-ray machine and place your feet in stirrups, like during a pelvic exam. A speculum is placed into the vagina, and the cervix is cleaned.

A thin tube (catheter) is placed in the cervix. Contrast passes through this tube, filling the uterus and fallopian tubes. The contrast makes the structures visible when the x-rays are taken.

How to Prepare for the Test    Return to top

Because there's a risk of infection, you may be prescribed antibiotics to take before and after the procedure. Your health care provider may also supply drugs to help you relax during the procedure. Be prepared to sign a consent form before the test begins and to wear hospital clothing. Often the test will be scheduled in the week following your period or toward the end of your period, to ensure that you are not pregnant during the test.

Inform your health care provider of any allergic reactions to contrast you may have had in the past.

You can eat and drink normally before the test.

How the Test Will Feel    Return to top

The test feels much like a vaginal examination associated with a Pap smear. You may have menstrual-type cramping during or after the test. You may experience some pain if the contrast leaks into your abdominal cavity.

Why the Test is Performed    Return to top

This test allows the health care provider to see the structures of the uterus and fallopian tubes, and to determine if there are any blockages or other problems. The test is usually done as part of an infertility examination. It may also be done after a permanent sterilization procedure to confirm that the tubes are fully blocked.

Normal Results    Return to top

Normally, all genital structures are there and are normal, without defects of any kind. Contrast can normally be seen leaking out the fallopian tubes into the abdominal cavity.

Note: Normal value ranges may vary slightly among different laboratories. Talk to your doctor about the meaning of your specific test results.

What Abnormal Results Mean    Return to top

Abnormal results may indicate any of the following:

Risks    Return to top

Considerations    Return to top

This test should not be performed if you have pelvic inflammatory disease (PID) or are experiencing unexplained vaginal bleeding.

After the test, report any signs or symptoms of infection to your health care provider immediately. These include foul-smelling vaginal discharge, pain, or fever.

References    Return to top

Katz VL. Diagnostic Procedures: Imaging, Endometrial Sampling, Endoscopy: Indications and Contraindications, Complications. In: Katz VL, Lentz GM, Lobo RA, Gershenson DM eds. Comprehensive Gynecology. 5th ed. Philadelphia, Pa: Mosby Elsevier; 2007: chap 11.

Update Date: 10/20/2008

Updated by: Dan Sacks, MD, FACOG. Obstetrics and Gynecology in private practice, West Palm Beach, FL. Review provided by Verimed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

A.D.A.M. Logo

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 1997-2009, A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.