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Hysterosalpingogram

A hysterosalpingogram is an X-ray examination of the uterus and fallopian tubes.  This exam shows whether your fallopian tubes are patent (open).

Preparation:  It is important that this exam be scheduled seven to ten days after the first day of your last menstrual period.  Your physician will schedule this with you. There are no dietary restrictions.  Your physician may suggest you take 400 milligrams of Motrin one hour before the exam.  This is available over the counter at any drug store.

Procedure:  Your obstetrician/gynecologist, radiologist and technologist will administer this exam.  You will be asked to change into a hospital gown and will be taken to an exam room.  You will be placed in a position similar to a routine gynecological examination.  The OB-GYN will clean off your skin with a sterile iodine solution.  You will have a blanket draped over your knees.  The physician will insert a speculum and place a small catheter into the cervical canal.  He will then inject a special X-ray dye (contrast media) while the radiologist takes the films.  You may be able to  see part of the exam on the TV screen.  You will be asked to hold your breath and possible change positions slightly.  Once these films are taken, the technologist will have your rest on the table until your are comfortable in getting up.  There may be cramping during and after the procedure.  Your physician may go over the films with you at this time or he may schedule an appointment with you at this office at a later date.

We suggest that you have someone drive you home after the exam.  You will also be given an ob pad to wear home, as spotting is normal after the exam.  You may take Tylenol or Motrin for cramps.  If you should experience heavy bleeding or severe cramps, contact your doctor immediately.

Your films will be read by the radiologist who will send a report to your doctor.