Hysterosalpingography HSG, also called uterosalpingography, is an X-Ray of the fallopian tubes and uterus of a woman using a special form of X-Ray called fluoroscopy and a contrast. An X-Ray (Radiograph) is a noninvasive medical test that helps physicians diagnose and treat medical conditions. The imaging with X-Rays involves exposing a part of the body to a small dose of ionizing radiation to produce images inside the body. X-Rays are the most common to produce medical images.
Fluoroscopy is a special x-ray technique that makes it possible to see internal organs in motion. During a hysterosalpingogram, uterus and fallopian tubes are filled with a contrast medium soluble in water, and the radiologist can use fluoroscopy to view and assess the anatomy and functions of the organs.
This information serves so that you give its assent for this intervention.
The hysterosalpingography procedure is best performed one week after menstruation but before ovulation to make certain that you are not pregnant during the exam. Women should always inform their physician and x-ray technologist if there is any possibility that they are pregnant.
This procedure should not be performed if you have an active inflammatory condition. You should notify your physician or technologist if you have a chronic pelvic infection or an untreated sexually transmitted disease at the time of the procedure.
HOW SHOULD I PREPARE?
On the night before the procedure, you may be asked to take a laxative or an enema to empty your bowels, so that the uterus and surrounding structures can be seen clearly.
Prior to the procedure, you may be given a mild sedative or over-the-counter medication to minimize any potential discomfort. Some physicians prescribe an antibiotic prior to and/or after the procedure.
You should inform your physician of any medications being taken and if there are any allergies, especially to iodinated contrast materials. Also inform your doctor about recent illnesses or other medical conditions. Also, tell your doctor if you have any signs of pelvic infection or pelvic inflammatory disease.
The procedure is like a gynecological exam. The patient is positioned on her back on the exam table, with her knees bent or her feet held up with stirrups and a speculum is inserted into the vagina. The cervix is then cleansed, and a catheter is inserted into the cervix. The speculum is removed and the patient is carefully positioned underneath the fluoroscopy camera. The contrast material then begins to fill the uterine cavity, fallopian tubes and peritoneal cavity through the catheter and fluoroscopic images are taken.
In some cases, if certain abnormalities are encountered, the patient will be asked to rest and wait up to 30 minutes so that a delayed image can be obtained. This delayed image may provide clues to a patient's condition that the original images with contrast material do not. On occasion, an x-ray will be taken the next day to ensure that there is no scarring surrounding the ovaries.
When the procedure is complete, the catheter will be removed and the patient will be allowed to sit up.
When the examination is complete, you may be asked to wait until the radiologist determines that all the necessary images have been obtained.
The hysterosalpingogram is usually completed within 30 minutes. There may be slight discomfort and cramping when the catheter is placed and the contrast material is injected, but it should not last long. There may also be slight irritation of the peritoneum, the lining of the abdominal cavity, causing generalized lower abdominal pain, but this should also be minimal and not long lasting. Most women experience vaginal spotting for a few days after the examination, which is normal.
In the event of a chronic inflammatory condition, pelvic infection or untreated sexually transmitted disease, be certain to notify the physician or technologist before the procedure to avoid worsening of infection.
Women should always inform their physician or x-ray technologist if there is any possibility that they are pregnant.
In uterine hemorrhage active, recent curettage, pregnancy, acute pelvic inflammatory disease, postsurgical assessment: in the tubal ligation before the 12 weeks.
AFTER THE EXPLORATION
will take one capsule of CLAMOXIL 500 mg every 6 hours for 48 hours.
In the case of feeling abdominal pain you should apply a suppository of BUSCAPINE and if it persists the pain after 6 hours, apply another suppository of BUSCAPINE.
Shall not carry on work or violent exercises during 24 hours.