What is a hysterosalpingogram
and why is it necessary?
Hysterosalpingogram is most commonly a part of an infertility work-up
for a woman of child-bearing age. It is an x-ray study that helps
determine the normality of the uterus and fallopian tubes. It is
used to look for physical barriers that may be causing a miscarriage
or something that can prevent the progress of a healthy pregnancy.
What can I expect from the hysterosalpingogram?
You will need to change out of your clothes into a gown. The radiologic technologist
will position you on a special movable table behind an x-ray device called
a fluoroscope. A small balloon at the end of a catheter is introduced into
the endometrial cavity. Under fluoroscopic observation by the radiologist,
a small amount of water-soluble contrast fills the endometrial cavity of
the uterus and both fallopian tubes. Various x-ray images are then taken.
The procedure may be a little uncomfortable, and cramping can be expected.