A hysterosalpingogram is a type of medical imaging exam that uses x-rays and contrast material to examine the uterus and fallopian tubes. A hysterosalpingogram allows radiologists to see internal organs in motion.
A hysterosalpingogram is most commonly used to examine a woman who is having difficulty becoming pregnant. The images allow the radiologist to visualize the following:
- shape and structure of the uterus
- whether the fallopian tubes are open or blocked
- uterine masses
- adhesions or scarring
When to Have a Hysterosalpingogram
Hysterosalpingography is best performed one week after menstruation, but before ovulation, when you are least likely to be pregnant. Always inform your physician and technologist if there is a possibility you may be pregnant to avoid exposing the fetus to radiation.
What to Expect During a Hysterosalpingogram
A hysterosalpingogram is an outpatient minimally invasive procedure that rarely causes complications. It can provide valuable information to a woman struggling with infertility in just one short exam.
During the exam, you will lie on the exam table as you normally would for a pelvic exam with your gynecologist. The radiologist will use a cleaning solution to clean your cervix and then insert a small catheter through the cervical opening into the uterus. Contrast material will be injected through the catheter to fill the uterus and fallopian tubes. As the contrast moves through your body, x-ray images will be taken. The procedure is short and only lasts about 10 minutes or less.
After the procedure, you may feel mild cramping, but it should stop within a few hours. It is recommended that most patients take a dose of ibuprofen about 45 minutes before the procedure.
Schedule Your Hysterosalpingogram
The first step is to talk to your doctor about your health concerns. Together, you can decide if a hysterosalpingogram is right for you, and then make an appointment for a consultation with The Association of Alexandria Radiologists. If you have questions about the procedure, or wish to make an appointment for a consultation, please contact us at 703-824-3260.