What is a hysterosalpingogram?
A hysterosalpingogram is an x-ray study of the uterus and fallopian tubes for detection of abnormalities of these structures. It is most often used to confirm tubal abnormalities or obstructions that may be the cause of infertility. The hysterosalpingogram must be scheduled at our Puyallup Imaging Center 7 to 10 days after the first day your menstrual period. Bleeding must be stopped before the exam is scheduled. It is also important that you should not have unprotected intercourse between the onset of your period and the examination.
You are advised to wear a two-piece outfit and are requested to douche and bathe before the examination. You may be asked not to eat for several hours before the exam, and may possibly be given a laxative and/or a sedative. Please allow at least one hour for this exam.
Also, please make arrangements to keep your children at home on the day of your appointment. There are no childcare services onsite…and due to the presence of radiation, children are not allowed to enter exam rooms during imaging procedures.
What should I expect?
After checking in with the receptionist and putting on a special gown in a dressing booth, you will meet in a private x-ray room with a female Technologist for questions and discussion. The Technologist will be present during the entire procedure. You will then be introduced to Radiology Practitioner Assistant or Radiologist who will perform the examination.
The exam begins very much like a pelvic examination. You will be positioned on the x-ray table lying on your back. The vaginal area and cervix will be cleansed and a small catheter passed into the uterus for injection of contrast media.
Contrast medium (a liquid solution) is then introduced into the uterine cavity. This flows into and outlines the uterus and fallopian tubes. If the fallopian tubes are blocked, the point of obstruction will be visible on the fluoroscope. You may experience some cramping during the injection. Relax as much as possible and breathe deeply when instructed.
The Radiologist will review your images. Sometimes additional delayed images may be necessary. When no further images are needed, you can change into your regular clothes and return home. You will be given a sanitary napkin to wear home. You may have some drainage of the contrast medium or spotting. This is normal.
Drainage will not be a full menstrual type of flow, and should last only a day or two. If, however, the spotting becomes excessive, you have any increasing discomfort in the pelvic area or develop a fever, please call your referring physician or healthcare provider.
Exam results are usually available 3 working days after the procedure. Please contact your referring physician for results at that time.