A Hysterosalpingogram allows the uterus and fallopian tubes to be visualized with imaging. 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 this 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 fluoroscopy, the uterus and fallopian tubes are visualized as they fill with contrast. 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.
Before the Procedure
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.