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Hysterosalpingogram: What to expect? ?

PunyaHealth Experts -

PunyaHealth Experts

Published on 24 May 2019

Hysterosalpingogram: What to expect?

Hysterosalpingogram Overview

Infertility is an inability to conceive even after having unprotected sex for more than 1 year. In today's advanced world, there are many procedures which could aid in conceiving children. These are called assisted reproductive techniques. But in order to make use of these technologies, one must be able to detect infertility scientifically. One of the most commonly performed tests for fertility in women is Hysterosalpingogram.

What is Hysterosalpingogram?

Hysterosalpingogram is a test done in order to determine if a woman is infertile. Although there are many tests, this is one of the first tests that are performed. On this test, the entire inner wall of the uterus and the Fallopian tubes are visualised. One can see the shape, size and contour of the uterus through this method. This test can also determine if the patient has any blocks in the Fallopian tube.

How is it done?

First, the patient's detailed history is done so that the doctor can understand the problems, complains and other medical conditions of the patient. Once this is done, the patient's general examination is done.

Next, a speculum (a device used to separate or widen a chamber) is used. The vaginal canal is widened and a plastic tube is inserted up to the uterus. Then, a contrast dye is passed into the tube and is filled in the uterus. This contrast dye is used to create a contrast so that the structures are clearer on a scan. The contrast dye is usually iodine based.

Some patients are allergic to this dye and this must be tested prior to the injection of dye. The dye is transferred into the uterus until it fills the entire uterus and also the fallopian tubes. It must the flow out of the fallopian tubes. There might be slight pain and cramping of the abdomen when this is done and may even cause severe pain if there is blockage of the fallopian tubes.

Then, an x-ray image is taken in various angles. The doctor may ask the patient to hold her breath while capturing the image. The contrast dye will provide a clear indicator in the x-ray so that any polyp, irregular masses, fibroids and obstructions in the fallopian tube will be easily detected.

Once this procedure is over, the patient can go home and wait for the test results. There might be slight pain which would be relieved through over-the-counter painkillers.