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| Hysterosalpingography |
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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 © 2001-2008 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.