Hysterosalpingogram

WHAT IS A HYSTEROSALPINGOGRAM (HSG)?

A Hysterosalpingogram (HSG) is an X-Ray Examination of a woman’s uterus and fallopian tubes that uses a special form of x-ray called Fluoroscopy and a contrast material. This procedure is used to determine the size, shape and location of your uterus and fallopian tubes. Procedure Duration: 45-60 minutes.

This procedure evaluates the female reproductive tracts, specifically the Endometrial Canal (interior of the Uterus) and Fallopian Tubes. It is primarily used to evaluate patients with infertility, particularly in those patients with previous history of abdominal surgery, known episodes of Pelvic Inflammatory Disease, prior Ectopic (Tubal) Pregnancies and diagnosed Endometriosis. It is also indicated in women who have undergone Essure (or similar tubal contraceptive device) placement, or those who have undergone reversal of Tubal Ligation.

 


Normal Hysterosalpingogram (HSG)

Radiology_Consultants_Normal Hysterosalpingogram (HSG)

  • A smooth triangular uterine cavity and spill from both tubes
  • The bones of the pelvis are seen on the x-ray around edges of image

Abnormal Hysterosalpingogram (HSG)

HSG abnormal

  • Showing a normal uterus and blocked tubes
  • No “spill” of dye is seen at the ends of the tubes
  • Both tubes are slightly dilated and fluid filled

 


HOW TO PREPARE FOR PROCEDURE

The procedure is performed after menstruation has completely stopped and before ovulation has occurred. Starting with the first day of your menstrual cycle as Day 1, this procedure is scheduled on Day 7 to Day 10.

 


WHAT TO EXPECT DURING PROCEDURE

Our goal is to make this experience as comfortable and stress-free as possible for our patients. After you check-in, you will change into a hospital gown, and placed onto a Fluoroscopic X-Ray table.

  • Patient draped and speculum introduced by Radiologic Physician into vaginal cavity to visualize Cervix.
  • Cervix cleaned with Betadine Solution
  • A thin catheter (size of spaghetti noodle) is inserted through Cervical Canal
  • A small balloon (size of a marble) is inflated to hold tube in place
  • The Radiologic Physician manually injects a small amount of water-soluble contrast through catheter, which fills the Endometrial Cavity of the Uterus and both Fallopian Tubes.
  • The Radiologic Physician records numerous X-Ray Spot Images of the findings
  • The instruments are removed from the Cervix and Vagina

Side Effects of Procedure

You may experience some discomfort after your Hysterosalpingogram. The amount of discomfort varies according to the amount of pre-existing inflammation of the Pelvic Organs. The contrast used during the procedure is quickly discharged or absorbed upon completion of procedure. You may take Ibuprofen or whatever medication you usually take for menstrual cramps.

  • Slight vaginal bleeding
  • Cramping

 

NOTE
If you experience heavy vaginal bleeding with fever, this is NOT normal. Please contact your regular Physician IMMEDIATELY.

NOTE
No sexual intercourse is allowed beginning on Day 1 of your cycle until your procedure is completed.

 


WHAT IF I HAVE AN ALLERGY TO IODINE?

Please contact your Physician or Radiology Consultants. They can prescribe an Antihistamine and Steroid to take 24-hours prior to your procedure.

 


HOW WILL I RECEIVE THE RESULTS OF MY TEST?

The Radiologic Physician will provide your referring Physician with an interpretation of the Hysterosalpingogram images. Your referring Physician will then make a diagnosis and contact you regarding the findings, and subsequent course of action (if any).

 


WHAT ABOUT PAYMENT?

Radiology Consultants will file all insurance as a courtesy to you. Depending on the Contractual Agreement with your Insurance Company, you may owe a co-payment and/or deductible at the time of service.

* Please bring your Insurance Card with you *

Please visit our BILLING PAGE for specific information on Insurance, Self-Pay, Motor Vehicle Accident, Cash, Debit or Major Credit Card payment options.

 

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Important…

Please notify the Radiologic Physician and/or Technologist if there is a possibility you are pregnant. Radiation is potentially harmful to a developing baby during pregnancy.

** All images are for educational purposes only. Consult your physician for a proper diagnosis.**

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