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| Hysterosalpingography |
Abstinence from sex is advised before the examination to prevent possible irradiation of an early pregnancy. Otherwise, barrier methods of contraception are recommended. Patients are also advised to inform the referring doctor, the radiologist or the radiographer of any history of drug allergy, infection or the genitals or if they suspect that they may be pregnant. The examination will be done under fluoroscopy. The patient is required to lie on the X-ray table in a position used for gynaecological examination. The radiologist will perform a vaginal examination during which a tube (plastic or metal) will be inserted into the opening of the uterus. This is unlike the procedure for a pap smear. Contrast medium will be introduced under S-ray guidance and images taken following visualization of the uterus and the fallopian tubes. The patient may be asked to hold her breath or turn on to her sides to ensure proper demonstration of the uterus and tubes. The procedure usually takes 30 to 45 minutes. It is advised that someone accompanies the patient to the department for the examination. Some discomfort may be experience during the insertion of the cannula and during the introduction of contrast media. It is important that the patient gives her fullest cooperation during the procedure. Analgesics will be given should the discomfort persist. There may be a minimal spotting after the examination. The patient should inform her doctor, the radiologist or the radiographer should she experience a lot of bleeding or abdominal pain within forty either hours following the examination.
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Copyright © 2001-2011 College of Radiology, Academy of Medicine of Malaysia Last Updated: |
ysterosalpingography is an X-ray examination to look at the uterus and the fallopian tubes. In most cases it is performed in women with the problem of inability to conceive (infertility). Hysterosalpingography is useful in detecting abnormalities of the uterus and the fallopian tubes. It provides an accurate picture of the site and extent of obstruction of the tubes or uterus. The examination is done 7 to 10 days after the first day of the patient’s last menstrual period.