Hysterosalpingography an overview sciencedirect topics. Links to pubmed are also available for selected references. Dye injected through the cervix flows into the uterus and through the fallopian tubes. Uterine abnormalities are thought to be a contributing factor in approximately 10% of infertile women and 50% of women with recurrent early pregnancy loss, while the prevalence of tubal abnormal. A hysterosalpingography test or the hsg test is an xray procedure mainly done to view the inside of the uterus and fallopian tubes which are important parts of the female reproductive system a healthy pregnancy is possible only when the ovaries function properly to produce eggs every month, and the fallopian tubes are open to receive the eggs produced by. An hsg can be ordered if you are having trouble conceiving or if you have had multiple miscarriages. Hysterosalpingography is a specialized radiologic procedure used in the evaluation of female infertility. Hysterosalpingography, which should be done in the follicular phase of the cycle, evaluates the contour of the uterine cavity, cervical canal, and tubal lumina. This procedure may also be called hysterography or.
Hysterosalpingography hsg is the most commonly used method for the diagnosis of tu bal patency, with an accuracy of as high as 9095% 2. It usually takes less than 5 minutes and you can go home the same day. This procedure may also be called hysterography or hsg. Hystero means uterus and salpingo means tubes, so hysterosalpingography literally means to take pictures of the uterus and fallopian tubes. You will be asked to lie on your back with your feet placed in stirrups as for a pelvic exam. Other indications for hsg include the evaluation of women with a history of recurrent spontaneous abortions, the postoperative evaluation of women who have undergone tubal ligation or reversal. Hysterosalpingography is a minimally invasive procedure with rare complications.
Before you have your hsg, we will make sure you have been tested recently for. Xrays can then precisely define abnormalities in the fallopian tubes. Other indications for hsg include the evaluation of women with a history of recurren. The differences in the procedures are noted by the imaging contrast and imaging method ultrasound or xray used. Hysterosalpingography is a radiological examination carried out by injecting a contrast into the cervix and this moves into the fallopian tubes, allowing the observation of the shape and possible. A hysterosalpingogram hsg is a medical imaging procedure that looks at the inside of your fallopian tubes and uterus. Specifically, its purpose is to assess the shape and function of the uterine cavity and. It injects a radioopaque material into the cervical canal and usually fluoroscopy with image intensification. Uterine abnormalities are thought to be a contributing factor in approximately 10% of infertile women and 50% of women with recurrent early pregnancy loss, while the prevalence of tubal abnormalities in infertility is. Before you have your hsg, we will make sure you have. Tell your doctor if you are pregnant and discuss any recent illnesses, medical conditions, allergies, and medications youre taking.
This document is an educational tool designed to assist practitioners in providing appropriate radiologic care for patients. The most common appliance in clinical practice is the invasive balloon catheter. Hysterosalpingography inpatient care what you need to know. Hysterosalpingography hsg is a radiographic diagnostic study of the uterus and fallopian tubes most commonly used in the evaluation of infertility. Hysterosalpingography also called hsg, is a procedure to look inside the uterus and fallopian tubes. Hsg hysterosalpingography is an xray test used to view your reproductive organs. An hsg is done 2 to 5 days after your monthly period when you are not pregnant. Its also used to investigate miscarriages due to problems in the uterus. Indications and contraindications for hysterosalpingography. Pradosh kumar sarangi hysterosalpingography under guidance of dr jayashree mohanty dr sasmita parida dr b m swain dr kalyani parida 3jan161 2. The basic procedure for an hsg fluoroscopic tube, sterile tray with vaginal speculum, uterine sound, tenaculum, sterile towels and drapes, and forceps, cannula catheter, syringe, contrast media, gooseneck lamp, sterile gloves, antiseptic cleansing solution, and lubricating gel. During the procedure, a radiologist doctor who specializes in the use of xrays takes images as a contrast dye flows through the uterus and fallopian tubes. Its use will reduce the need for hysterosalpingography.
It gives information about the shape of the cavity of the uterus and helps determine if fibroids are distorting the cavity of the uterus. In the november 2008 issue of the american journal of roentgenology, sadowski and colleagues evaluated fallopian tubal patency by mr hysterosalpingography using 3d timeresolved imaging of contrast kinetics. Hysterosalpingogram hsg hsg hysterosalpingography is an xray test used to view your reproductive organs. Nov 14, 2011 hysterosalpingography is a radiological examination carried out by injecting a contrast into the cervix and this moves into the fallopian tubes, allowing the observation of the shape and possible. Informed consent is a legal document that explains the tests, treatments, or procedures that you may need. This is a test using xrays and fluoroscopy florosskuhp to look inside the uterus womb and the fallopian tubes. Procedures page for more information about pregnancy and xrays. Structural or functional defects, pre and postoperative evaluations of genital organs, lost misplaced or ectopic contraceptive devices, dysmenorrhea, restoring patency. Other than being diagnostic, it can prove to be therapeutic. Mr hysterosalpingography compared with conventional. Hysterosalpingography is a procedure where x rays are taken of a womans reproductive anatomy after a contrast dye is injected into the cervix. Hsg hysterosalpingography is an xray procedure that is used to view the inside of the uterus and fallopian tubes. Hysterosalpingography hsg, also known as uterosalpingography, is a radiologic procedure to investigate the shape of the uterine cavity and the shape and patency of the fallopian tubes. Hysterosalpingography hysterosalpingography hsg evaluates the shape of the uterus and checks whether the fallopian tubes.
Hysterosalpingography, which should be done in the follicular phase of the cycle, evaluates the contour of the uterine cavity. Hysterosalpingographyhsg test procedure, preparation. Dec 28, 2017 the results and images of the hysterosalpingography test will be available immediately, and the doctor will discuss the test results with you. The technique is easy to learn and perform, is relatively. Practice parameters and technical standards are not inflexible rules or requirements of practice and are. Sonographic hysterosalpingography is a simple office procedure which should be used in the preliminary assessment of the uterine cavity and the fallopian tubes. Infertility to assess uterine morphology and tubal patency. Hysterosalpingography hsg is an xray procedure that helps evaluate the uterine cavity and the fallopian tube. These problems may include tumors, adhesions, blockages, injuries, deformities, and foreign bodies in the uterus and tubes. A hysterosalpingography is a type of xray that looks at a womans uterus and fallopian tubes structures that transport eggs from the ovaries to the uterus. Aug 01, 2014 hysterosalpingography hsg is now increasingly used as the firstline investigation to assess the uterine cavity and tubal patency in infertility workup. Hsg is commonly performed as part of an infertility evaluation.
Cesarean section is the most commonly performed surgical procedure involving the. This can help diagnose why you are unable to get pregnant. The first hsg was performed in 1910 and was considered to be the first special radiologic procedure. Hysterosalpingography hsg is the radiographic evaluation of the uterus and fallopian tubes and is used predominantly in the evaluation of infertility. Most patients with a history of infertility do not use a contraceptive method and due to irregular menstrual cycles, menstrual history is not always reliable. It helps to assess the size and shape of your womb uterus. Among many things, this test can help diagnose why you are unable to get pregnant or to verify sterilization after an essure procedure. Hysterosalpingogram hsg procedure, indications, contraindications and complications. Dec 16, 2014 this is a short tutorial by david forstein, md, for medical students and residents discussing hysterosalpingography. Learn vocabulary, terms, and more with flashcards, games, and other study tools. During hysterosalpingography, a dye is injected into the uterus through a plastic tube or cannula. Hysterosalpingography hsg is a special type of xray that produces images of the parts of a womans body needed to have a baby. During the procedure, a radiologist or radiology physicians assistant r. A hysterosalping ogram or hsg is an xray procedure performed to determine whether the fallopian tubes are open and to see if the shape of the uterine cavity is.
Hysterosalpingography is considered a screening procedure for an infertility workup, and despite the development of other diagnostic tools such as mr imaging, hysteroscopy, and laparoscopy, hysterosalpingography remains the main examination for the study of the fallopian tubes. Department of gynecology and obstetrics, the johns hopkins university, baltimore, maryland objective. Mayo clinic does not endorse any of the third party products and services advertised. During the procedure, a radiologist doctor who specializes in the use of xrays takes images as a contrast dye flows through the uterus and. Hysterosalpingography hsg remains an important radiologic procedure in the investigation of infertility and has become a commonly performed examination due to recent advances of reproductive medicine. Xray images are taken as the dye moves through the uterus and into the fallopian tubes. Mayo clinic is a nonprofit organization and proceeds from web advertising help support our mission. Hysterosalpingography hysterosalpingography hsg evaluates the shape of the uterus and checks whether the fallopian tubes are open. Hysterosalpingography definition of hysterosalpingography. Definition hysterosalpingography is a procedure where x rays are taken of a womans reproductive tract after a dye is injected. A properly performed hsg can detect the contour of the uterine.
Hysterosalpingography is a relatively short procedure that can provide valuable information on a variety of abnormalities that cause infertility or problems carrying a fetus to term. Hysterosalpingography hsg is an outpatient fluoroscopy procedure that evaluates the uterine cavity and fallopian tube patency. Procedure and video editor july 4, 2010 20100704t19. Hsg is also used to evaluate any scarring on the uterus and fallopian tubes. Hysterosalpingography is a procedure where xrays are taken of a womans reproductive tract after a contrast is injected. Nov 29, 2016 hysterosalpingography hsg is a radiographic diagnostic study of the uterus and fallopian tubes most commonly used in the evaluation of infertility. Hsg is an xray exam of the uterus and fallopian tubes. Hysterosalpingography is a procedure to look inside your uterus and fallopian tubes. Do not have this procedure if you think you may be pregnant or have an active pelvic infection. University of sulaimanifaculty of medical sciences school of medicine 2. Please take 600 mg of ibuprofen advil, motrin, and others 1 hour before your exam.
Hysterosalpingography hysterosalpingography is the radiographic evaluation of uterus and fallopian tubes under fluoroscopic guidance. Hysterosalpingography hsg is the radiographic evaluation of the uterine cavity and fallopian tubes after the administration of a radioopaque medium through the cervical canal. Fluoroscopy is a type of xray that shows moving pictures. Hysterosalpingography hsg is a procedure where oil or waterbased contrast media is injected via a catheter into the uterus and into the fallopian tubes. A hysterosalpingogram or hsg is an xray procedure used to see whether the fallopian tubes are patent open and if. An hsg is an xray exam done in fluoroscopy that uses iodine based dye injected through the cervix to exam the uterus and to see if the fallopian tubes are blocked.
This is a short tutorial by david forstein, md, for medical students and residents discussing hysterosalpingography. These stored images are easily accessible for diagnosis and disease management. An hsg uses an xray and a dye to diagnose problems in the female reproductive system. Get a printable copy pdf file of the complete article 1. Download fulltext pdf download fulltext pdf download fulltext pdf hysterosalpingography article pdf available in middle east fertility society journal 173.
To demonstrate the value of the hysterosalpingogram in the evaluation of infertility. This procedure may also be called hsg or hysterography. This technique provides useful, although indirect, information. Hsg demonstrates the morphology of the uterine cavity, the lumina, and the patency of the fallopian tubes. The authors noted an increased number of patent fallopian tubes identified using mr hysterosalpingography compared with conventional hysterosalpingography. Hysterosalpingography hsg evaluates the shape of the uterus and checks whether the fallopian tubes are open. Please use one of the following formats to cite this article in your essay, paper or report. All physicians performing hsg procedures who have met the above criteria.
As this contrast media fills the uterine cavity and the fallopian tubes, xray images are periodically taken to record the filling of the uterus and fallopian tubes. This means it is a special xray using dye to look at the womb and fallopian tubes. Beitia, md jolinda mester, md hysterosalpingography hsg has become a commonly performed examination due to recent advances and improvements in, as well as the increasing popularity of, reproductive medicine. Along with documentation of ovulation and semen analysis, hsg is one of the fundamental infertility tests. Informed consent means you understand what will be done and can make decisions about what you want. Hysterosalpingogram hsg test for blocked fallopian tubes. Original article application of the new hydrotubation. Covers a healthy uterus and cervix making it slippery and hard to grasp for an hsg. Many women are anxious before undergoing the hysterosalpingography test because they fear that the procedure might be painful. Hysterosalpingography hsg is a radiographic procedure used to image the uterine cavity and demonstrate tubal patency by injecting radiographic contrast media through the cervix. Feb 03, 2020 a hysterosalpingography hissterosalpingahgruhfee is also called an hsg. A hysterosalpingogram hsg is a procedure that uses an xray to look at your fallopian tubes and uterus. This noninvasive medical test, which provides a video image, is also referred to as uterosalpingography or fluoroscopy.