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Hysterosalpingography

Alternative names:

hysterogram; uterosalpingography; uterotubography

How the test is performed:

You are asked to lie on a table in the radiology department and pull your knees to your chest (lithotomy position). A speculum is then inserted into the vagina, and the cervix is cleaned. A fluoroscope is inserted through the cervix and dye is injected, filling the uterus and Fallopian tubes. The dye makes the genital organs more visible under X-ray, which is then performed and any abnormalities noted.

How to prepare for the test:

Fecal material in the bowel can obscure the genital view necessary. For this reason, your health care provider may give you laxatives to take the night before the test. Sometimes an enema or suppositories may be administered the day of the test. Your health care provider may also supply sedatives to help you relax during the procedure. Be prepared to sign a consent form before the test begins and to wear hospital clothing.

Inform your health care provider of any allergic reactions to contrast dry you may have had in the past.

You need not limit any foods or fluids prior to the test.

Infants and children:
The physical and psychological preparation you can provide for this or any test or procedure depends on your child's age, interests, previous experience, and level of trust. For specific information regarding how you can prepare your child, see the following topics as they correspond to your child's age:

How the test will feel:

The test feels much like a vaginal examination associated with a Pap smear. After the test, you may experience menstrual-type cramping. You may also experience some pain if the dye leaks into your abdominal cavity.

Why the test is performed:

This test is useful in diagnosing:

  • uterine tumors
  • intrauterine adhesion
  • developmental disorders
  • obstruction of the Fallopian tubes
  • traumatic injury
  • tubal adhesions
  • the presence of foreign bodies


Adam

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