www.ivf.com/hsg.htmlA Couple's Guide to Hysterosalpingogram (HSG)
is an X-ray of the uterus and fallopian tubes which allows visualization of the inside of the uterus and tubes. The picture
will reveal any abnormalities of the uterus as well as tubal problems such as blockage and dilation (hydrosalpinx). If sterilization
reversal is planned, the point at which the tubes are blocked can be seen. This helps to plan the reconstructive procedure.
If the tubes are not blocked by scar tissue or adhesions, the dye will flow into the abdominal cavity. This is a good
sign but it does not guarantee that the tubes will function normally. It does give a rough estimate of the quality of the
tubal structure and the status of the tubal lining. Some cases where the tubes appear to be blocked where they join the uterus,
may in fact be normal. Often blockage at this location may be due to spasm of the opening from the uterus into the tube or
from accumulated debris and mucus blocking the opening. This can be managed by passing a very thin catheter into the fallopian
tube either at the time of hysterosalpingogram or during a hysteroscopic procedure.
A hysterosalpingogram may also
indicate endometrial polyps, submucus fibroids, intrauterine adhesions (synechia), uterine and vaginal septa uterine cavity
abnormalities, or the after-effect of genital tuberculosis. The hysterosalpingogram may or may not be able to detect pelvic
adhesions, mild hydrosalpinx, small polyps, endometriosis, tubal phimosis (clubbing of the fimbria at the end of the tube),
or immotility of the tube. Other tests, such as hysteroscopy saline sonohysterography or laparoscopy may be necessary to accurately
evaluate your uterus.
Although the purpose of the hysterosalpingogram is not therapeutic, sometimes forcing dye through
the tube will dislodge any material which blocks it. A number of women have become pregnant following a hysterosalpingogram
without further treatment.
Generally there is no special preparation needed for this test. However, depending upon
your diagnosis, you may need to take antibiotics to guard against possible infection. To ensure that you are not pregnant,
the study is done between Day 7 and 10 of your cycle. Prior to the procedure you may take an anti-inflammatory medication
(Aleve or Motrin). A small catheter is placed into the cervix and the dye is injected. You may feel heavy cramping during,
and for several hours following this procedure. Expect a sticky vaginal discharge for a few days as the dye is expelled from
the uterus. Use a pad or panty liner during this time to allow fluid to escape. Any dye that remains will be absorbed without
any ill effect.
NOTE: Be sure we are aware of any allergies you may have to Iodine, Betadine, or Novocaine prior to