Hysterosalpingography is a type of x-ray exam. It is used to examine the uterus (womb) and fallopian tubes. A contrast (dye) is injected into the uterus. It helps to create clearer images.
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Hysterosalpingography is used to evaluate:
All x-rays expose you to a certain level of radiation. These levels are considered safe for most but are not recommended for pregnant women. Tell your doctor if you are pregnant.
Some people may also have an allergic reaction to contrast used to enhance the image. Let your doctor know about any allergies you may have.
You will be asked about your medical history. If you have had pelvic inflammatory disease in the past, it is important that you share this information with your doctor.
In the days leading up to the test:
You will lie on a special x-ray table. Your feet will be in foot rests or pulled up to your chest. A pelvic exam will be done to check the position of the uterus and check for tenderness or inflammation. A device called a speculum will be inserted to gently open the vagina. A catheter (tube) will be inserted through the cervix and into the uterus.
You will be repositioned after the tube is inserted. The contrast material will be slowly injected through tubing connected to the catheter into the uterus and fallopian tubes. The x-ray machine will create images that the doctor can see. X-ray photos will also be taken during the test. The table may be tilted or you may be asked to roll from side to side for better views or pictures. When x-rays of all the areas have been taken, the instruments will be removed.
You will be observed for about 30 minutes after the test. The staff will look for signs of an allergic reaction and bleeding. You will then be able to leave.
After the test, be sure to follow your doctor's instructions. You will not be able to use tampons or engage in sexual intercourse for 48 hours after the procedure.
About 15-45 minutes
Most patients report some discomfort and cramping during this test. If there is a blockage, it may cause more intense pain. Your doctor may order pain or sedating medications. The medications are often taken one hour before the test.
A radiologist interprets the x-ray films and reports what was found to the doctor who ordered the exam. Your doctor will then make recommendations for treatment.
American Congress of Obstetricians and Gynecologists
Women's Health—US Department of Health and Human Services
The Society of Obstetricians and Gynaecologists of Canada (SOGC)
Women's Health Matters
Hysterosalpingography. American College of Obstetricians and Gynecologists website. Available at: http://www.acog.org/~/media/For%20Patients/faq143.pdf?dmc=1&ts=20121219T1452148438. Updated August 2011. Accessed December 13, 2017.
Hysterosalpingography. Radiology Info—American College of Radiology webiste. Available at: http://www.radiologyinfo.org/en/info.cfm?pg=hysterosalp. Updated June 8, 2016. Accessed December 13, 2017.
Last reviewed December 2017 by Beverly Siegal, MD, FACOG Last Updated: 12/20/2014