Uterus Exam - Hysterosalpingography

This is an x-ray of the uterus and fallopian tubes after a dye is injected through the cervix into the uterus.

This is an x-ray of the uterus and fallopian tubes after a dye is injected through the cervix into the uterus.

The normal female reproductive system has two ovaries, two fallopian tubes and a uterus (womb).

  • The ovaries are where human eggs are made.
  • The fallopian tubes provide a pathway for the eggs to travel from the ovaries to the uterus.
  • The uterus is the organ that nourishes and protects a growing baby during pregnancy.
  • The cervix is the opening of the uterus into the vagina.

A hysterosalpingography is an x-ray of the uterus and fallopian tubes after a dye is injected into the uterus.

  • The dye is injected using a small tube that goes through the cervix into the uterus.
  • The dye outlines the uterus and fallopian tubes. This helps the radiologist find abnormalities on the x-ray.

A hysterosalpingography is most commonly done as part of an infertility workup. It may also be done to make sure the fallopian tubes are blocked after a tubal ligation, also known as having your tubes “tied”.

  • You will need to lie on your back with your feet in stirrups. The position is similar to the position you are in when having a pap smear or pelvic (internal) exam.
  • You may have some discomfort during the procedure. Sometimes a sedative is needed to help with the discomfort.
  • There may be a small amount of bloody vaginal discharge and cramping after the exam.

Prior to the procedure, tell your healthcare provider about any medications you are taking (including over-the-counter medications and supplements). Ask about specific instructions you should follow before the procedure. These may include:

  • Medications you should not take before the procedure, such as blood thinners or aspirin
  • Regular medications you should continue to take on the day of your procedure
  • How many hours you should stop eating and drinking before the procedure
  • Any activity or dietary restrictions you should follow after the procedure
If you are a smoker, you should quit smoking. Smoking can interfere with your recovery.

What should I ask my healthcare provider before having a hysterosalpingography?

  • What is my diagnosis and reason for the procedure?
  • Is there any other special preparation for the procedure? (If so, get clear instructions on what you need to do.)
  • Will I have any type of sedation? What are the possible side effects?
  • Are there any alternatives to this procedure?
  • What are the possible risks/complications? How will I feel after the procedure?
  • Will I have to modify my activity?
  • What type of medication can I take to manage the pain after the procedure?
  • When can I return to work and resume sexual activity?
  • What symptoms might indicate a problem after the procedure?

After your hysterosalpingography, your healthcare provider should provide a description of any problems found during the procedure and what symptoms you should report.

  • You should also understand all home care instructions (including medications and side effects) and follow-up plans.
  • Your gynecologist should also let your primary care physician know the details of your procedure and treatment plan.
  • Do not forget to make arrangements for transportation to and from the facility and help at home while you recover.

Source UHC.com

Also known as:

X-ray Uterus
Uterus X-ray
Uterus Scope
Uterus Exam - Hysterosalpingography
Scope of Uterus
Exam of Uterus

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