The Tremendous Use of The Hysterosalpingography Procedure

Hysterosalpingography (HSG) is a procedure of radiology that is used in the investigation of the shape and potency of the fallopian tubes as well as the shape of the uterine cavity. This radiological method is used in order to diagnose Asherman’s syndrome, tubal occlusion, and uterine malformations and used especially in the treatment of infertile women. One of the latest methods, it has been proved to be very much helpful in diagnosing as well as treatment of infertile women.

In the procedure of Hysterosalpingography (HSG) a radio-opaque material is injected into the cervical canal along with fluoroscopy and image intensification. The normal result shows the filling of the uterine cavity and the fallopian tubes with the injected material. In order to test out the tubal potency, the spillage of the material into the peritoneal cavity has to be observed. The procedure of hysterosalpingography involves the usage of ionizing x-rays therefore it is always advised that it is carried out during the preovulatory phase of the cycle.

In the course of the test, the radiographic contrast medium is injected into the uterine cavity either through the cervix or through the vagina. If the contrast medium manages to find its way into the abdominal cavity then it can be assumed or rather concluded that the fallopian tubes are open and there is no blockage. The presence or absence of the contrast medium in the abdominal cavity would also indicate whether the blockage is at the junction of the tube and the uterus or whether it is at the end of the fallopian tubes. There could be some complications in the process due to the allergy to the contrast used, infection, or in case if the oil based medium is used then there could be embolisation.  

The results of this test have shown some amazing results. It has been observed that the pregnancy rates using hysterosalpingography have increased in the cycle. Once the status of the fallopian tube has been known the interventional radiologist can open the tubes, which are proximally colluded, using catheters.




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