Hysterosalpingography is an X-ray imaging method aimed at detecting difficulties in becoming pregnant (infertility), recurrent miscarriages, and anomalies in the anatomy of the reproductive system in women. A contrast agent is injected into the uterus through the vaginal route, and imaging is performed using a special device called fluoroscopy, which uses very low ionizing radiation. Particularly, fibroids (adhesions) and any shape deformities visible in the uterus and fallopian tubes are detected. Sometimes, the imaging method itself can also provide treatment for infertility.
Why is it Needed?
- Determining the causes of infertility, also known as the inability to become pregnant, in women
- Determining whether the fallopian tubes are structurally blocked due to infections, surgical procedures, etc.
- Closing of the tubes
- Detecting congenital or acquired uterine adhesions, endometrial polyps, and tumors.
How Should We Prepare? You should ensure that your appointment date is at least 10 days after the first day of your last menstrual period and before ovulation. Hospitalization is not required; the procedure is performed on an outpatient basis.
If you have any existing illnesses, especially pelvic infections or sexually transmitted diseases, inform your doctor.
If you have any allergies to contrast agents or other substances, inform your doctor. You may need to take a painkiller and antibiotic prescribed by your doctor before the procedure.
You need to undress and wear a patient gown provided to you. You should remove any metal jewelry or similar items that could interfere with the imaging area.
You will lie on a table similar to a gynecological examination table for the procedure. The person performing the scan will clean you and insert a catheter into the cervix using a speculum. Then, the speculum is removed, and the catheter is used to fill the uterus and fallopian tubes with a contrast agent for imaging.
Shortly after, you may experience mild pain or cramp-like discomfort. You might have vaginal discharge lasting a few days. This is normal.