How do you perform a Hysterosalpingogram?

In HSG, a thin tube is threaded through the vagina and cervix. A substance known as contrast material is injected into the uterus. A series of X-rays, or fluoroscopy, follows the dye, which appears white on X-ray, as it moves into the uterus and then into the tubes.

Which tools are used to perform a Hysterosalpingogram?

Instruments required for hysterosalpingogram (HSG) include an open-sided speculum, tenaculum, sponge stick, antiseptic, contrast medium, and an acorn (Cohen) cannula (A) or a balloon-tip catheter (B). The cervix is prepared with an antiseptic and grasped with a single-toothed tenaculum.

How much contrast is needed for HSG?

During the infusion of approximately 5 to 10 ml of contrast medium, four to six radiographs that were obtained to evaluate the patency of both fallopian tubes were examined by a gynecologist or radiologist.

How does the dye comes out after HSG?

After HSG, you can expect to have a sticky vaginal discharge as some of the fluid drains out of the uterus. The fluid may be tinged with blood. A pad can be used for the vaginal discharge.

Can you repeat HSG?

A second hysterosalpingography reduces the use of selective technique for treatment of a proximal tubal obstruction.

Is HSG invasive?

This exam is minimally invasive; complications are rare. It can offer valuable information on problems getting pregnant or carrying a fetus to term. It can potentially open blocked fallopian tubes to allow you to become pregnant in the future. No radiation stays in your body after an x-ray exam.

What is the most common pathological indication for the hysterosalpingogram?

Indications for hysterosalpingography: Infertility (most common indication, in particular when fallopian tube pathology is suspected).

Why did my HSG hurt so much?

“Either it goes out the tubes, or it stays in the uterus because the fallopian tubes are blocked. There’s pressure, and the pain occurs when the dye is placed in the tubes.”

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