X-ray
Hysterosalpingogram

Hysterosalpingogram allows the uterus and fallopian tubes to be visualized on x-rays. The procedure is performed to evaluate narrowing of the fallopian tubes, scarring of the uterine lining and congenitally malformed uterus as a possible cause of infertility.

For procedure, the patient is positioned as for routine pelvic exam and a speculum is inserted. A small tube is inserted (vaginally) through the cervix into the uterus. A contrast media (clear dye) is injected into the uterus. Under fluoroscopic x-ray, the uterus and fallopian tubes are illuminated and visualized as they fill with contrast. X-ray images are obtained. A cramping sensation during and after the procedure is common.

If proximal tubal occlusion (obstruction of a fallopian tube near its juncture / joining with the uterus) is confirmed by hysterosalpingogram procedure, fallopian tube recanalization may be recommended to open blocked fallopian tubes.

How to prepare

• Hysterosalpingogram can be performed 3 to 5 days after the menstrual period.
  
  
• No other preparation is required.
  
  
• Tylenol, Motrin, Aleve or other non-aspirin (ibuprofen) pain reliever are recommended to relieve post procedural cramping.