Hysterosalpingogram is an outpatient diagnostic procedure used to evaluate the endometrial cavity and fallopian tubes for causes of infertility, or to determine if there is a uterine abnormality.
Hysterosalpingogram is used as a pre-operative evaluation of the endometrial cavity and fallopian tubes, and to diagnose possible causes of infertility. Hysterosalpingogram can reveal congenital abnormalities, fibrous masses of the uterus, adhesions in the uterus or pelvis, tumors, obstructions, and the presence of foreign bodies.
Hysterosalpingogram is a diagnostic procedure performed in an outpatient setting. Patients lie on a table with their knees pulled to their chest. A speculum is used to widen the vagina, then a fluoroscope (a long, needle-like syringe) is used to inject contrast dye into the endometrial cavity and fallopian tubes. X-rays illuminate the dye, exposing the internal organs as well as any abnormalities. A mild sedative may be administered to alleviate discomfort.
Potential risks include endometrial infection, fallopian tube infection, perforated uterus, or an allergic reaction to the dye.
The patient will probably experience mild, menstrual-like cramping after the procedure. If bleeding is heavy or prolonged, a vaginal discharge appears, or any sign of infection occurs including fever or chills--a physician should be consulted immediately.
Dr. Stovall is a Clinical Professor of Obstetrics and Gynecology at the University of Tennessee Health Science Center in Memphis, Tennessee and Partner of Women's Health Specialists, Inc.
Date Published: 2000-09-21
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