Hysterosalpingography (HSG) is a specialized X-ray procedure used to visualize the internal female reproductive organs, including the uterus and fallopian tubes. A contrast agent is injected into the uterine cavity and fallopian tubes to evaluate their structure and patency. This procedure helps detect blockages, developmental abnormalities, or pathological changes within the uterus and fallopian tubes.
 
Role of Hysterosalpingography: Hysterosalpingography is an essential diagnostic procedure for detecting structural abnormalities and tubal patency issues in women. By using X-rays after the injection of a contrast agent, HSG allows for detailed visualization of the uterine cavity and fallopian tubes. It plays a crucial role in diagnosing infertility causes, such as tubal blockages, intrauterine adhesions, fibroids, or other anatomical issues.
 
Indications for Hysterosalpingography: HSG may be recommended in the following cases:
Infertility Evaluation: If a couple is experiencing difficulties conceiving, HSG helps identify blockages or other issues with tubal patency.
Detection of Uterine Abnormalities: The procedure can detect congenital uterine anomalies, such as a bicornuate or septate uterus, which may impact fertility.
Diagnosis of Intrauterine Lesions: HSG can help identify intrauterine adhesions, polyps, or fibroids that may interfere with embryo implantation.
Postoperative Evaluation: The procedure may be recommended after surgeries involving the uterus or fallopian tubes to assess their anatomical condition.
 
Preparation for the Procedure: To prepare for Hysterosalpingography (with contrast included), the following guidelines should be followed:
Avoid sexual intercourse for 2-3 days before the procedure.
Refrain from using vaginal tampons, creams, or medications for 2-3 days before the procedure.
Avoid consuming carbonated drinks and foods that may cause bloating for 1-2 days before the procedure.
Undergo a preliminary blood test to rule out infectious diseases.
Inform your doctor of any allergies, medical conditions, and medications you are taking.
 
Procedure Details: The HSG procedure with contrast included is conducted as follows:
A catheter is inserted into the vagina and cervix.
Through the catheter, a contrast agent is introduced, filling the uterine cavity and fallopian tubes.
X-ray images are taken, showing the contours of the uterus and fallopian tubes.
After the procedure, there may be slight bleeding or cramping in the abdominal area.